Individual
DR. TIANA KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
400 PARK AVE APT 402, CALUMET CITY, IL 60409-5030
(312) 978-7017
Mailing address
PO BOX 2391, CALUMET CITY, IL 60409-8391
(312) 978-7017
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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