Individual
MS. ALICIA ANTOINETTE KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ED. CCC-SLP
Contact information
Practice address
2135 GENERAL BOOTH BLVD, SUITE 152, VIRGINIA BEACH, VA 23454-5881
(757) 430-8828
(757) 430-8189
Mailing address
1348 GOOSE LNDG, VIRGINIA BEACH, VA 23451-6520
(757) 422-2357
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004492
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4980701
—
VA
Enumeration date
07/26/2006
Last updated
07/08/2007
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