Provider Demographics
NPI:1396335162
Name:KERSEY, VICTOR AARON (PHD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:AARON
Last Name:KERSEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 W 150 N
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84050-3800
Mailing Address - Country:US
Mailing Address - Phone:385-259-5811
Mailing Address - Fax:
Practice Address - Street 1:1330 S 740 E
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-8081
Practice Address - Country:US
Practice Address - Phone:801-272-3420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist