Aller, Ty Bracken

Aller, Ty Bracken is an individual health care provider with primary practice located at 545 W 465 N Ste 130 , Providence UT 84332-8005. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Aller, Ty Bracken can be contacted via phone (385) 200-3993.

Contact Information

Primary practice address
545 W 465 N Ste 130 Providence UT 84332-8005
Phone: (385) 200-3993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 9560142-3902 Utah

Profile Details

NPI number 1386119600
LBN Legal business name Aller, Ty Bracken
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2018
Last updated Oct 29th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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