Kevin Michael Fenstermacher, PHD | |
1549 E 3970 S, Millcreek, UT 84124-1524 | |
(801) 201-3139 | |
Not Available |
Full Name | Kevin Michael Fenstermacher |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 1549 E 3970 S, Millcreek, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083178404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 5075655-2501 (Utah) | Primary |
Mailing Address | Practice 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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