| Drs Joan Or Donald Kent | |
|
2531 Briarcliff Rd Ne Suite 111 Atlanta GA 30329-3017 | |
| (404) 321-6322 | |
| Not Available |
| Full Name | Drs Joan Or Donald Kent |
|---|---|
| Speciality | Psychologist |
| Location | 2531 Briarcliff Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Joan H Kent (OWNER) |
| Authorized Official Contact | 4043216322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Joan Or Donald Kent 2531 Briarcliff Rd Ne Suite 111 Atlanta GA 30329-3017 Ph: (404) 321-6322 | Drs Joan Or Donald Kent 2531 Briarcliff Rd Ne Suite 111 Atlanta GA 30329-3017 Ph: (404) 321-6322 |
| NPI Number | 1093968984 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 08/14/2009 |
| Medicare PECOS PAC ID | 1850389867 |
|---|---|
| Medicare Enrollment ID | O20040506000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093968984 | NPI | - | NPPES |
| 1366500324 | Other | GA | CAHABA CMS |
| 1093968984 | Other | GA | CMS CAHABA |
| 1639237696 | Other | GA | CAHABA CMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 343 (Georgia) | Primary |
| 103T00000X | Psychologist | 302 (Georgia) | Secondary |
| Provider Name | Joan H Kent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366500324 PECOS PAC ID: 1759447394 Enrollment ID: I20090305000255 |
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