Kevin Michael Fenstermacher, PHD

NPI #1083178404 in Millcreek, Utah

Provider Information

NPI Number: 1083178404
Entity Type: Individual
Name: Kevin Michael Fenstermacher, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jan 30, 2019
Last Updated: Jan 30, 2019

Practice Location

Address: 1549 E 3970 S
City: Millcreek
State: Utah
ZIP Code: 84124-1524
Phone: (801) 201-3139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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Organizations

Provider Name	Specialty	City
Intermountain Mental Health, Inc.	Psychologist	Millcreek	AI Deep Dive

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