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NPI Code Detail

MEDICARE: MRS. HEATHER HENDERSON KENT M.S CCC-SLP

MEDICARE: MRS. HEATHER HENDERSON KENT M.S CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA17271FL
2235Z00000XSpeech-Language PathologistSZ8864FL

General Provider Information

NPI Number : 1760967459
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER HENDERSON KENT M.S CCC-SLP
Provider Business Mailing Address
First Line : 2925 SELMA AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-5841
Country : US
Telephone Number : 850-323-1701
Fax Number :
Provider Business Practice Location Address
First Line : 4419 TRAM RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-2559
Country : US
Telephone Number : 850-747-5401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2018
Last Update Date : 11/07/2021

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Directions to “ MRS. HEATHER HENDERSON KENT M.S CCC-SLP” Practice Location

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