Doctor Name: | MRS. SANDRA KENT |
NPI Number: | 1285877670 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, CCC-SLP |
License Number: | SA5854 |
Business Practice Address: | 4077 N Chinook Ln Ormond Beach, FL - 321749326 |
Business Phone Number: | 3867938120 |
Business Fax Number: | |
Mailing Address: | 2624 Juniper Dr, EDGEWATER |
State: | FL |
Postal Code: | 321415410 |
Phone Number: | 3864238138 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2009 |
NPI Last Update Date: | 04/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA5854 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |