Provider Demographics
NPI:1457047250
Name:KENT, LINDSEY (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:KENT
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3210
Mailing Address - Country:US
Mailing Address - Phone:831-234-7701
Mailing Address - Fax:
Practice Address - Street 1:2851 ESTATES DR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3210
Practice Address - Country:US
Practice Address - Phone:831-234-7701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24513235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist