Provider Demographics
NPI:1578520516
Name:KENT, LUANNE RAE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LUANNE
Middle Name:RAE
Last Name:KENT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 BLACKMON RD
Mailing Address - Street 2:APT 2803
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-4489
Mailing Address - Country:US
Mailing Address - Phone:706-507-1069
Mailing Address - Fax:706-544-4261
Practice Address - Street 1:411 OAK STREET
Practice Address - Street 2:STERLING MEDICAL ASSOCIATES; ATTN: CREDENTIALS
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219
Practice Address - Country:US
Practice Address - Phone:513-984-1800
Practice Address - Fax:513-984-4909
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1362103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist