Individual
DAREN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12237 GRASSLAND CT, RIVERTON, UT 84065-3167
(801) 446-7220
Mailing address
12237 GRASSLAND CT, RIVERTON, UT 84065-3167
(801) 446-7220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
282914-4102
UT
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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