Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Anthony Decarlo, TLLP

Individual provider Clinical Psychologist · NPI 1699668889

Charles Anthony Decarlo, TLLP is a Clinical Psychologist in Livonia, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

15127 Bainbridge St
Livonia, MI 48154-3649
Phone: (734) 771-5788
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6362010154APP25 (MI)

Record details

NPI number1699668889
Entity typeIndividual (Type 1)
GenderMale
Credentials TLLP
Sole proprietorYes
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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