Provider Demographics
NPI:1639378193
Name:KENT, GENEVIEVE PRESTON (MA, SLP-CCC)
Entity Type:Individual
Prefix:MS
First Name:GENEVIEVE
Middle Name:PRESTON
Last Name:KENT
Suffix:
Gender:F
Credentials:MA, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 COHASSET RD
Mailing Address - Street 2:REHABILITATION DEPARTMENT - SPEECH THERAPY
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:375 COHASSET RD
Practice Address - Street 2:REHABILITATION DEPARTMENT - SPEECH THERAPY
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2211
Practice Address - Country:US
Practice Address - Phone:530-343-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-15
Last Update Date:2007-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4655235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist