Ty Bracken Aller
NPI #1386119600 in Providence, Utah
Provider Information
- NPI Number
- 1386119600
- Entity Type
- Individual
- Name
- Ty Bracken Aller
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Oct 13, 2018
- Last Updated
- Oct 29, 2018
Practice Location
- Address
- 545 W 465 N STE 130
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-8005
- Phone
- (385) 200-3993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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