Robert Bagley, PH.D.
Individual provider Active NPI Marriage & Family Therapist · Salt Lake City, UT
NPI 1083720601 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083720601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 6119664-3904 (UT)
- Practice address
- 32 W Winchester St
Suite 101
Salt Lake City, UT 84107-5607 - Phone
- (801) 263-6367
- Fax
- (801) 263-6370
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6119664-3904 | UT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 6119664-3904 | UT | Yes |
Addresses
Primary practice location
32 W Winchester St
Suite 101
Salt Lake City, UT 84107-5607
Mailing address
5662 Shady Farm LN
Murray, UT 84107-6714
Other names
- Rob Bagley
Other providers in Salt Lake City, UT
- Yasaman Naemi Baghshomali
- Ana Bagley
- Joel Kevin Bagley II
- Kimra Bagley
- Lisa Dunn Bagley
- Sandra W Bagley
- Tricia Bagley
- Jordan Lee Bagnall
- Roxana Bahani
- Stephanie Bahena Alvarez
All providers in Salt Lake City, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.