Susan F Davenport in Warner Robins - Clinical
Susan F Davenport - NPI 1760447585
Susan F Davenport is a Clinical in Warner Robins, Georgia. Susan F Davenport practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan F Davenport is 1760447585. The last update date is 2010-08-16.
Susan F Davenport's current location address is 121 Carl Vinson Parkway, Warner Robins, Georgia. You can contact this provider via phone number 4789222365 and fax number 4789221778. The mailing address for Susan F Davenport is 121 Carl Vinson Parkway, Warner Robins, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan F Davenport |
|---|---|
| Address | 121 Carl Vinson Parkway, Warner Robins, Georgia |
| Phone Number | 4789222365 |
| Fax Number | 4789221778 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1760447585 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2010-08-16 |
Provider Mailing Address Detail
| Address | 121 Carl Vinson Parkway |
|---|---|
| City | Warner Robins |
| State | Georgia (GA) |
| Post Code | 31088 |
| Phone Number | 4789222365 |
| Fax Number | 4789221778 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1969 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 572913 | BCBS | ||
| 000693448A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan F Davenport?
The Susan F Davenport has been issued the NPI (National Provider Identifier) 1760447585 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Susan F Davenport's facilities are geographically located?
The facilities of Susan F Davenport are physically situated at the following location: 121 Carl Vinson Parkway, Warner Robins, GA, 31088.
What is Susan F Davenport's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan F Davenport is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did the Susan F Davenport receive its 1760447585?
The Susan F Davenport was issued its 1760447585 on 2006-04-18, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Susan F Davenport, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan F Davenport, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-08-16.