| Doctor Name: | DR. SANDRA ELIZABETH KENT |
| NPI Number: | 1144281734 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 4763 |
| Business Practice Address: | 45 Sterling St Suite 23 West Boylston, MA - 015831200 |
| Business Phone Number: | 7742618530 |
| Business Fax Number: | 5088299158 |
| Mailing Address: | 45 Sterling St, Suite 23 WEST BOYLSTON |
| State: | MA |
| Postal Code: | 015831200 |
| Phone Number: | 7742618530 |
| Fax Number: | 5088299158 |
| NPI Enumeration Date: | 03/31/2006 |
| NPI Last Update Date: | 01/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |