Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis D Reverol

Individual provider Psychologist · NPI 1124839519

Genesis D Reverol is a Psychologist in Bountiful, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

415 Medical Dr Ste A100
Bountiful, UT 84010-4995
Phone: (801) 683-1062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1124839519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2025
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address415 Medical Dr Ste A100, Bountiful, UT 84010-4995

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