Provider Demographics
NPI:1487018362
Name:SUSAN KENT-ARCE, PH.D. PLLC
Entity Type:Organization
Organization Name:SUSAN KENT-ARCE, PH.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KENT-ARCE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:214-984-7094
Mailing Address - Street 1:2419 COIT RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-3731
Mailing Address - Country:US
Mailing Address - Phone:214-984-7094
Mailing Address - Fax:
Practice Address - Street 1:2419 COIT RD
Practice Address - Street 2:SUITE C
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-3731
Practice Address - Country:US
Practice Address - Phone:214-984-7094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL667103TC1900X
TX37137103TC1900X
TNP 2706103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Single Specialty