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.
Healthcare Provider's Profile
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. |
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.
Identifier | Type | State | Issuer |
1083178404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 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 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 |
Reviews and Comments