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Contact Information

TAMY DAVENPORT
111 EAST 12TH STREET
ADA, OK74820
 Phone: 580-436-2690
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for TAMY DAVENPORT · (Female)

NPI # 1093145674
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2013
Last updated 11/19/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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