Charles Robert Davenport PSY.D

NPI 1174705610 - Psychologist - 103TC0700X

NPI Details
NPI 1174705610
Gender Male
Enumeration Date 11/27/2007
Last Updated 11/01/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1525 TAMIAMI TRL S
SUITE 603 A
VENICE FL, 34285-3568, US
Phone (941) 321-1971
Fax (941) 866-0936
Business Location
1525 TAMIAMI TRL S
SUITE 603 A
VENICE FL, 34285-3568, US
Phone (941) 321-1971
Fax (941) 866-0936
Toxanomy
Taxonomy Code 103TC0700X
License State Florida
License Number PY7978
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According to our database, Charles Robert Davenport PSY.D NPI is 1174705610, taxonomy code is 103TC0700X and license number is PY7978, license state is located at Florida. Charles Robert Davenport PSY.D physically located at 1525 Tamiami Trl S, Venice FL, 34285-3568. NPI Number Charles Robert Davenport PSY.D has the Individual type.

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1174705610 NPI number is provided on an as is basis without warranty of any kind. 1174705610 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Robert Davenport PSY.D are for informational purposes only.