Davenport, Susan F

Davenport, Susan F is an sole proprietor health care provider with primary practice located at 7460 Warren Pkwy , Frisco TX 75034-4169. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davenport, Susan F can be contacted via phone (972) 640-8026.

Contact Information

Primary practice address
7460 Warren Pkwy Frisco TX 75034-4169
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1969 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 39542 Texas

Profile Details

NPI number 1760447585
LBN Legal business name Davenport, Susan F
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2006
Last updated Mar 13th, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1760447585 NPPES
Other 572913 BCBS
MEDICAID 000693448A BCBS

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