Provider Demographics
NPI:1295984342
Name:KENT, JANET R (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:R
Last Name:KENT
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3622 12TH AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-1306
Mailing Address - Country:US
Mailing Address - Phone:206-225-3824
Mailing Address - Fax:
Practice Address - Street 1:555 16TH AVE
Practice Address - Street 2:SEATTLE MEDICAL AND REHABILITATION
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5618
Practice Address - Country:US
Practice Address - Phone:206-324-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-13
Last Update Date:2008-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00004550235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist