| Ty Bracken Aller, | |
|
545 W 465 N Ste 130, Providence, UT 84332-8005 | |
| (385) 200-3993 | |
| Not Available |
| Full Name | Ty Bracken Aller |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 545 W 465 N Ste 130, Providence, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386119600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 9560142-3902 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ty Bracken Aller, Po Box 583, Providence, UT 84332-0583 Ph: () - | Ty Bracken Aller, 545 W 465 N Ste 130, Providence, UT 84332-8005 Ph: (385) 200-3993 |
Emily O'dell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-755-6061 | |
Rylan Hellstern, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-755-6061 | |
Troy Benallie, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-755-6061 | |
Daniel Griffin Fast, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-755-6061 Fax: 435-994-8362 |