Provider Demographics
NPI:1750464103
Name:CARRIO, PAUL (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:CARRIO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ARROWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-1801
Mailing Address - Country:US
Mailing Address - Phone:678-893-0987
Mailing Address - Fax:
Practice Address - Street 1:121 ARROWOOD LN
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-1801
Practice Address - Country:US
Practice Address - Phone:678-893-0987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-21
Last Update Date:2020-12-11
Deactivation Date:2017-10-11
Deactivation Code:
Reactivation Date:2020-12-11
Provider Licenses
StateLicense IDTaxonomies
GA08010103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist