Individual provider · Type 1 NPI

Kevin Michael Fenstermacher, PhD

Psychologist · Millcreek, UT

NPI number 1083178404 Active

Practice location

1549 E 3970 S
Millcreek, UT 84124-1524

Other practice locations

  • 4505 S Wasatch Blvd Ste 380, Salt Lake City, UT 84124-4733 · (801) 201-3139

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X5075655-2501 (UT)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1083178404

Kevin Michael Fenstermacher, PhD's National Provider Identifier is 1083178404, issued on Jan 30, 2019. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Millcreek, UT. The record was last updated on Jan 30, 2019.