Amelia Davenport, Concinnity Group in Blue Springs - Health Service
Amelia Davenport, Concinnity Group - NPI 1043421480
Amelia Davenport, Concinnity Group is a Health Service in Blue Springs, Missouri. Amelia Davenport, Concinnity Group practices all healthcare services and medical treatments related to Health Service. The NPI Number for Amelia Davenport, Concinnity Group is 1043421480. The last update date is 2009-01-04.
Amelia Davenport, Concinnity Group's current location address is 1104 Se Graham Ridge Rd, Blue Springs, Missouri. You can contact this provider via phone number 8162250562. The mailing address for Amelia Davenport, Concinnity Group is 1104 Se Graham Ridge Rd, Blue Springs, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Amelia Davenport, Concinnity Group |
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Address | 1104 Se Graham Ridge Rd, Blue Springs, Missouri |
Phone Number | 8162250562 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Davenport S. Amelia |
Credentials | PSY.D. |
Telephone Number | 8162250562 |
NPI Number Detail
NPI Number | 1043421480 |
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Provider Enumeration Date | 2007-05-25 |
Last Updated Date | 2009-01-04 |
Provider Mailing Address Detail
Address | 1104 Se Graham Ridge Rd |
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City | Blue Springs |
State | Missouri (MO) |
Post Code | 640144101 |
Phone Number | 8162250562 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Health Service |
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Taxonomy | 103Th0100X |
Licence No | 2007015259 |
Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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What is the unique provider identifier assigned to Amelia Davenport, Concinnity Group?
The Amelia Davenport, Concinnity Group has been issued the NPI (National Provider Identifier) 1043421480 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 Amelia Davenport, Concinnity Group is physically located?
The Amelia Davenport, Concinnity Group is physically situated at the following address: 1104 Se Graham Ridge Rd, Blue Springs, MO, 640144101.
What is Amelia Davenport, Concinnity Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Amelia Davenport, Concinnity Group is Health Service, and the taxonomy code that classifies this field of practice is 103Th0100X.
On what date did Amelia Davenport, Concinnity Group receive its 1043421480 assignment from the Centers for Medicare & Medicaid Services?
The Amelia Davenport, Concinnity Group was assigned its 1043421480 on 2007-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Amelia Davenport, Concinnity Group most recently updated?
The details pertaining to the Amelia Davenport, Concinnity Group, including its address, specialty, and other relevant information, were last refreshed on 2009-01-04.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY