Kevin Michael Fenstermacher, PHD - Psychologist in Millcreek, UT

Kevin Michael Fenstermacher, PHD is a Psychologist based in Millcreek, Utah. Kevin Michael Fenstermacher is licensed to practice in Utah (license number 5075655-2501) and his current practice location is 1549 E 3970 S, Millcreek, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 201-3139.

NPI number for Kevin Michael Fenstermacher is 1083178404 and his current mailing address is 1549 E 3970 S, Millcreek, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083178404.

Contact Information

Kevin Michael Fenstermacher, PHD
1549 E 3970 S,
Millcreek, UT 84124-1524
(801) 201-3139
Not Available



Healthcare Provider's Profile

Full NameKevin Michael Fenstermacher
GenderMale
SpecialityPsychologist
Location1549 E 3970 S, Millcreek, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083178404
  • Provider Enumeration Date: 01/30/2019
  • Last Update Date: 01/30/2019

Medical Identifiers

Medical identifiers for Kevin Michael Fenstermacher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083178404NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 5075655-2501 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Michael Fenstermacher is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin Michael Fenstermacher, PHD
1549 E 3970 S,
Millcreek, UT 84124-1524

Ph: (801) 201-3139
Kevin Michael Fenstermacher, PHD
1549 E 3970 S,
Millcreek, UT 84124-1524

Ph: (801) 201-3139

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› Verified 8 days ago


Psychologist in Millcreek, UT


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