D. B. Tug Wagstaff, LPC
D. B. Tug Wagstaff, LPC is a Psychiatric Hospital Unit in American Fork, Utah. Licensed in Utah. Registered with an NPI since 2010.
- Licensed in
- UT
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
1021 E 70 NAmerican Fork, UT 84003-2914
Phone: (801) 376-4787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 321749-6004 (UT) |
|---|---|
| Psychiatric Hospital Unit | Taxonomy 273R00000X · Licence 321749-6004 (UT) |
Record details
| NPI number | 1053638031 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Doug 'Tug' Wagstaff — Owner · (801) 376-4787 |
| NPI enumerated | April 29, 2010 |
| Last updated in NPPES | December 12, 2012 |
| Mailing address | 1021 E 70 N, American Fork, UT 84003-2914 |