Charles Robert Davenport, PSY.D

NPI #1174705610 in Venice, Florida

Provider Information

NPI Number: 1174705610
Entity Type: Individual
Name: Charles Robert Davenport, PSY.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSY.D
Enumeration Date: Nov 27, 2007
Last Updated: Nov 1, 2011

Practice Location

Address: 1525 TAMIAMI TRL S
Address 2: SUITE 603 A
City: Venice
State: Florida
ZIP Code: 34285-3568
Phone: (941) 321-1971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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