| Doctor Name: | LENA CAROSELLI |
| NPI Number: | 1215279914 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R. EEG T |
| License Number: | 3158 |
| Business Practice Address: | 2 Stable Ct Collegeville, PA - 194264410 |
| Business Phone Number: | 6103240454 |
| Business Fax Number: | 4849020445 |
| Mailing Address: | 2 Stable Court, COLLEGEVILLE |
| State: | PA |
| Postal Code: | 19426 |
| Phone Number: | 6103240454 |
| Fax Number: | 4849020445 |
| NPI Enumeration Date: | 03/20/2013 |
| NPI Last Update Date: | 03/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2472E0500X |
| License Number: | 3158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Other |
| Taxonomy Specialization: | EEG |
| Taxonomy Definition: | |