Provider Demographics
NPI:1205660420
Name:KENT, KATHLEEN CHRISTEN (PSYD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:CHRISTEN
Last Name:KENT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KATE
Other - Middle Name:C
Other - Last Name:KENT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:7122 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5045
Mailing Address - Country:US
Mailing Address - Phone:714-895-3765
Mailing Address - Fax:
Practice Address - Street 1:7122 MAPLE ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5045
Practice Address - Country:US
Practice Address - Phone:714-895-3765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist