| Organization Name: | D. B. TUG WAGSTAFF, LPC |
| NPI Number: | 1053638031 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUG 'TUG' B. WAGSTAFF (OWNER) |
| Mailing Address: | 1021 E 70 N American Fork |
| State: | UT US |
| Postal Code: | 840032914 |
| Phone Number: | 8013764787 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2010 |
| NPI Last Update Date: | 12/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 273R00000X |
| License Number: | 321749-6004 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Psychiatric Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians |