Kent, Sandra
Kent, Sandra is an sole proprietor health care provider with primary practice located at 4077 N Chinook Ln , Ormond Beach FL 32174-9326. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kent, Sandra can be contacted via phone (386) 793-8120.Contact Information
Primary practice address
4077 N Chinook Ln
Ormond Beach FL 32174-9326
Phone: (386) 793-8120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA5854 | Florida |
Profile Details
| NPI number | 1285877670 |
|---|---|
| LBN Legal business name | Kent, Sandra |
| Credentials | M.ED, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2009 |
| Last updated | Apr 14th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285877670 | NPPES |
| Florida | Other | SA5854 | STATE LICENSE |
| Florida | MEDICAID | 886398900 | STATE LICENSE |
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