Provider Demographics
NPI:1891139150
Name:DARGER, CALEB D
Entity Type:Individual
Prefix:MR
First Name:CALEB
Middle Name:D
Last Name:DARGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13510 S 7530 W
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-3579
Mailing Address - Country:US
Mailing Address - Phone:801-828-5752
Mailing Address - Fax:
Practice Address - Street 1:836 N 1375 W
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-3049
Practice Address - Country:US
Practice Address - Phone:801-375-2523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor