GENESIS REVEROL
Psychologist
Active
Individual
NPI: 1124839519
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | Yes | - |
Frequently Asked Questions
NPI 1124839519 is the National Provider Identifier for GENESIS REVEROL, a Psychologist provider located in Bountiful, UT. This NPI was enumerated on January 15, 2025.
GENESIS REVEROL practices at 415 MEDICAL DR STE A100, Bountiful, UT 84010.
Quick Facts
- NPI
- 1124839519
- Type
- Individual
- Enumerated
- Jan 15, 2025
- Last Updated
- Jan 15, 2025
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