| Doctor Name: | MR. PATRICK MILTON WAUGH |
| NPI Number: | 1114365939 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., LMHP |
| License Number: | 9982 |
| Business Practice Address: | 309 West Third St. Rushville, NE - 693600779 |
| Business Phone Number: | 3084304934 |
| Business Fax Number: | 3083272126 |
| Mailing Address: | Po Box 779, RUSHVILLE |
| State: | NE |
| Postal Code: | 693600779 |
| Phone Number: | 3084304934 |
| Fax Number: | 3083272126 |
| NPI Enumeration Date: | 06/14/2013 |
| NPI Last Update Date: | 05/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 9982 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |