Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
D. B. TUG WAGSTAFF, LPC
Active OrganizationIntellectual Disabilities Residential Treatment Facility · AMERICAN FORK, UT
Registration Details
- NPI Number
- 1053638031
- Provider Type
- Organization
- NPI Issued
- Apr 29, 2010 (15.979944494546 yrs)
- Last Updated
- Dec 12, 2012
- Licenses
-
321749-6004 (UT)321749-6004 (UT)
Practice Information
- Address
-
1021 E 70 NAMERICAN FORK, UT, 840032914Browse UT providers · Browse ZIP 84003
- Phone
- 8013764787
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
- Additional Specialty
- Intellectual Disabilities Residential Treatment Facility
Other Intellectual Disabilities Residential Treatment Facility Organizations in AMERICAN FORK, UT
| Name | NPI |
|---|---|
| UTAH STATE DEVELOPMENTAL CENTER PHARMACY | 1164435129 |
| RISE & SHINE YOUTH AND ADULT SERVICES | 1508571514 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.