| Mary G. Davenport, Ph.d. | |
|
1608 Oak St Sarasota FL 34236-7517 | |
| (941) 366-3134 | |
| (941) 906-9528 |
| Full Name | Mary G. Davenport, Ph.d. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1608 Oak St, Sarasota, Florida |
| Authorized Official Name and Position | Mary G Davenport (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9413663134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary G. Davenport, Ph.d. 1608 Oak St Sarasota FL 34236-7517 Ph: (941) 366-3134 | Mary G. Davenport, Ph.d. 1608 Oak St Sarasota FL 34236-7517 Ph: (941) 366-3134 |
| NPI Number | 1720347552 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 05/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720347552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1503 (Florida) | Primary |
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