Healthcare Provider Details

I. General information

NPI: 1407228703
Provider Name (Legal Business Name): BARBARA KENT MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2015
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date: 05/11/2016
Reactivation Date: 07/21/2026

III. Provider practice location address

132 LANCASTER DR
IRVINGTON VA
22480-9740
US

IV. Provider business mailing address

6510 MAIN ST
GLOUCESTER VA
23061
US

V. Phone/Fax

Practice location:
  • Phone: 804-438-4341
  • Fax: 804-438-4896
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202006408
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: