Basic Information
| Provider Information | |||||||||
| NPI: | 1578520516 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KENT | ||||||||
| FirstName: | LUANNE | ||||||||
| MiddleName: | RAE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7401 BLACKMON RD | ||||||||
| Address2: | APT 2803 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 319094489 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7065071069 | ||||||||
| FaxNumber: | 7065444261 | ||||||||
| Practice Location | |||||||||
| Address1: | 411 OAK STREET | ||||||||
| Address2: | STERLING MEDICAL ASSOCIATES; ATTN: CREDENTIALS | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45219 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5139841800 | ||||||||
| FaxNumber: | 5139844909 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 1362 | AL | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.