Wagstaff, Robert Charles

Wagstaff, Robert Charles is an sole proprietor health care provider with primary practice located at 10 Boulder Crescent St Suite 204B, Colorado Springs CO 80903-3344. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wagstaff, Robert Charles can be contacted via phone (719) 575-0878.

Contact Information

Primary practice address
10 Boulder Crescent St Suite 204B Colorado Springs CO 80903-3344
Phone: (719) 575-0878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 989457 Colorado

Profile Details

NPI number 1326027616
LBN Legal business name Wagstaff, Robert Charles
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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