| 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 |
Abigail Elizabeth Goodridge, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 51 W 3900 S, Millcreek, UT 84107 Phone: 801-646-7836 | |
Mrs. Cody Ann Tunney, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4568 S Highland Dr Ste 380, Millcreek, UT 84117 Phone: 385-272-8906 |