Individual provider · Type 1 NPI

Robert Bagley, PhD

Marriage & Family Therapist · Salt Lake City, UT

NPI number 1083720601 Active

Practice location

32 W Winchester St, Suite 101
Salt Lake City, UT 84107-5607

Fax (801) 263-6370

Mailing address

5662 Shady Farm Ln
Murray, UT 84107-6714

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X6119664-3904 (UT)

Marriage & Family Therapist: 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 supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1083720601

Robert Bagley, PhD's National Provider Identifier is 1083720601, issued on Aug 23, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.