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Contact Information

CHARLES R DAVENPORT PSYD LLC
1608 OAK ST
SARASOTA, FL34236-7517
 Phone: 941-321-1971
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHARLES R DAVENPORT PSYD LLC · (Female)

NPI Number 1063797504
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2011
Last updated 06/10/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PY7978
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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