Healthcare Provider Details

I. General information

NPI: 1295957025
Provider Name (Legal Business Name): DARREN DENNIS ASHTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 RED CLIFFS DR
ST GEORGE UT
84790-5457
US

IV. Provider business mailing address

128 S 1210 W
ST GEORGE UT
84770-8043
US

V. Phone/Fax

Practice location:
  • Phone: 435-673-6446
  • Fax: 435-652-8020
Mailing address:
  • Phone: 918-289-7469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3133
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number377756-3501
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: