Sandra W Bagley in Salt Lake City - Marriage & Family Therapist
Sandra W Bagley - NPI 1023022415
Sandra W Bagley is a Marriage & Family Therapist in Salt Lake City, Utah. Sandra W Bagley practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Sandra W Bagley is 1023022415. The last update date is 2013-03-04.
Sandra W Bagley's current location address is 3683 Wilde Rose Lane, Salt Lake City, Utah. You can contact this provider via phone number 8012730295. The mailing address for Sandra W Bagley is 3683 Wilde Rose Lane, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra W Bagley |
|---|---|
| Address | 3683 Wilde Rose Lane, Salt Lake City, Utah |
| Phone Number | 8012730295 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN PHD M |
NPI Number Detail
| NPI Number | 1023022415 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2013-03-04 |
Provider Mailing Address Detail
| Address | 3683 Wilde Rose Lane |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 84109 |
| Phone Number | 8012730295 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 1166903902 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| U000075209 | UT | PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Sandra W Bagley by the Centers for Medicare & Medicaid Services?
The Sandra W Bagley has been issued the NPI (National Provider Identifier) 1023022415. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Sandra W Bagley's physical address?
The Sandra W Bagley is physically located at 3683 Wilde Rose Lane, in the city of Salt Lake City, UT, with the postal code 84109.
What is Sandra W Bagley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sandra W Bagley's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Sandra W Bagley receive its 1023022415 assignment from the Centers for Medicare & Medicaid Services?
The Sandra W Bagley was assigned its 1023022415 by the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date were the details related to Sandra W Bagley most recently updated or revised?
The information pertaining to Sandra W Bagley, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-04.