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Contact Information

LYNETTE BALLARD, LCSW
1525 LINCOLN AVE
OGDEN, UT84404-5638
 Phone: 801-621-6510
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for LYNETTE BALLARD · (Female)

NPI # 1619423415
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/31/2016
Last updated 08/31/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 5368297-3501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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