Davenport, Charles Robert

Davenport, Charles Robert is an individual health care provider with primary practice located at 1525 Tamiami Trl S Suite 603 A, Venice FL 34285-3568. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davenport, Charles Robert can be contacted via phone (941) 321-1971.

Contact Information

Primary practice address
1525 Tamiami Trl S Suite 603 A Venice FL 34285-3568
Phone: (941) 321-1971
Fax: (941) 866-0936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY7978 Florida

Profile Details

NPI number 1174705610
LBN Legal business name Davenport, Charles Robert
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Nov 1st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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