Kent, Phillip L

Kent, Phillip L is an individual health care provider with primary practice located at 4455 E 56Th St , Davenport IA 52807-2995. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Kent, Phillip L can be contacted via phone (563) 355-2577.

Contact Information

Primary practice address
4455 E 56Th St Davenport IA 52807-2995
Phone: (563) 355-2577
Fax: (563) 355-4015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 00929 Iowa
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00424 Iowa
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00929 Iowa
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP1079 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X Illinois

Profile Details

NPI number 1407844277
LBN Legal business name Kent, Phillip L
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 9th, 2007 - about 18 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1407844277 NPPES
Iowa MEDICAID 0447185
Iowa Other 45245
Iowa Other IA01C3

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