Provider Demographics
NPI:1184127037
Name:KENT, DANIT (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:DANIT
Middle Name:
Last Name:KENT
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 SAINT DENIS AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509-1002
Mailing Address - Country:US
Mailing Address - Phone:757-285-7786
Mailing Address - Fax:
Practice Address - Street 1:6045 CURLEW DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4713
Practice Address - Country:US
Practice Address - Phone:757-892-3290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA235Z00000X
VA2202003448235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist