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
Address 1104 Se Graham Ridge Rd, Blue Springs, Missouri
Phone Number 8162250562
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Davenport S. Amelia
Credentials PSY.D.
Telephone Number 8162250562

NPI Number Detail

NPI Number 1043421480
Provider Enumeration Date 2007-05-25
Last Updated Date 2009-01-04

Provider Mailing Address Detail

Address 1104 Se Graham Ridge Rd
City Blue Springs
State Missouri (MO)
Post Code 640144101
Phone Number 8162250562
Fax Number

Provider's Primary Taxonomy Detail

Speciality Health Service
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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FAQs about Amelia Davenport, Concinnity Group

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.

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