Reverol, Genesis D
Reverol, Genesis D is an individual health care provider with primary practice located at 415 Medical Dr Ste A100 , Bountiful UT 84010-4995. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Reverol, Genesis D can be contacted via phone (801) 683-1062.Contact Information
Primary practice address
415 Medical Dr Ste A100
Bountiful UT 84010-4995
Phone: (801) 683-1062
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1124839519 |
|---|---|
| LBN Legal business name | Reverol, Genesis D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2025 |
| Last updated | Jan 15th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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