# FENSTER CORP.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265592083
- **Authorized official:** DR. KEVIN MICHAEL FENSTERMACHER PH.D. (PRESIDENT)
- **Authorized official phone:** (801) 201-3139

## Contact information

- **Practice address:** 4505 WASATCH BLVD STE 380, SALT LAKE CITY, UT 84124-4733
- **Practice address phone:** (801) 201-3139
- **Mailing address:** 4505 WASATCH BLVD STE 380, SALT LAKE CITY, UT 84124-4733
- **Mailing address phone:** (801) 201-3139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 5075655-2501 | UT | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020