Individual
DEREK WILLIS HAGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4095 E PONY EXPRESS PKWY STE 15, EAGLE MOUNTAIN, UT 84005-5529
(801) 200-2506
Mailing address
2039 E FICUS WAY, EAGLE MTN, UT 84005-5741
(801) 200-2506
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1453
MA
106H00000X
Marriage & Family Therapist
159
NH
106H00000X
Marriage & Family Therapist
Primary
7684356-3902
UT
Other
Enumeration date
06/17/2009
Last updated
02/02/2021
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