Charles Robert Davenport in Venice - Clinical
Charles Robert Davenport - NPI 1174705610
Charles Robert Davenport is a Clinical in Venice, Florida. Charles Robert Davenport practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles Robert Davenport is 1174705610. The last update date is 2011-11-01.
Charles Robert Davenport's current location address is 1525 Tamiami Trl S, Venice, Florida. You can contact this provider via phone number 9413211971 and fax number 9418660936. The mailing address for Charles Robert Davenport is 1525 Tamiami Trl S, Venice, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Robert Davenport |
|---|---|
| Address | 1525 Tamiami Trl S, Venice, Florida |
| Phone Number | 9413211971 |
| Fax Number | 9418660936 |
| Sole Proprietor | N |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1174705610 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2011-11-01 |
Provider Mailing Address Detail
| Address | 1525 Tamiami Trl S |
|---|---|
| City | Venice |
| State | Florida (FL) |
| Post Code | 342853568 |
| Phone Number | 9413211971 |
| Fax Number | 9418660936 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY7978 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique provider identifier assigned to Charles Robert Davenport?
The Charles Robert Davenport has been issued the NPI (National Provider Identifier) 1174705610 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Charles Robert Davenport is physically located?
The Charles Robert Davenport is physically situated at the following address: 1525 Tamiami Trl S, Venice, FL, 342853568.
What is Charles Robert Davenport's area of expertise and its corresponding taxonomy classification?
The Charles Robert Davenport's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174705610 to Charles Robert Davenport?
The Centers for Medicare & Medicaid Services originally issued the 1174705610 to Charles Robert Davenport on 2007-11-27.
When was the information regarding Charles Robert Davenport most recently updated?
The details pertaining to the Charles Robert Davenport, including its address, specialty, and other relevant information, were last refreshed on 2011-11-01.