Michael Patrick Davenport in Shreveport - Psychologist

Michael Patrick Davenport - NPI 1659308104

Michael Patrick Davenport is a Psychologist in Shreveport, Louisiana. Michael Patrick Davenport practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael Patrick Davenport is 1659308104. The last update date is 2007-07-08.

Michael Patrick Davenport's current location address is 1002 Highland Ave, Shreveport, Louisiana. You can contact this provider via phone number 3182226226 and fax number 3182218526. The mailing address for Michael Patrick Davenport is 1002 Highland Ave, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Patrick Davenport
Address 1002 Highland Ave, Shreveport, Louisiana
Phone Number 3182226226
Fax Number 3182218526
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1659308104
Provider Enumeration Date 2006-06-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1002 Highland Ave
City Shreveport
State Louisiana (LA)
Post Code 71101
Phone Number 3182226226
Fax Number 3182218526

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 464
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
721409091001 LA HUMANA MILITARY

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FAQs about Michael Patrick Davenport

What is the unique 10-digit identifier code assigned to Michael Patrick Davenport by the Centers for Medicare & Medicaid Services?

The Michael Patrick Davenport has been issued the NPI (National Provider Identifier) 1659308104 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Michael Patrick Davenport is physically located?

The Michael Patrick Davenport is situated at the following address: 1002 Highland Ave, Shreveport, LA 71101.

What is Michael Patrick Davenport's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Michael Patrick Davenport is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.

When was the Michael Patrick Davenport's 1659308104 issued?

The Michael Patrick Davenport's 1659308104 was issued on 2006-06-27.

When was the information pertaining to Michael Patrick Davenport most recently updated or revised?

The details related to Michael Patrick Davenport, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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