| Susan F Davenport Phd Inc | |
|
121 Carl Vinson Parkway Warner Robins GA 31088 | |
| (478) 922-2365 | |
| (478) 922-1778 |
| Full Name | Susan F Davenport Phd Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 121 Carl Vinson Parkway, Warner Robins, Georgia |
| Authorized Official Name and Position | Susan F Davenport (OWNER) |
| Authorized Official Contact | 4789222365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan F Davenport Phd Inc 121 Carl Vinson Parkway Warner Robins GA 31088 Ph: (478) 922-2365 | Susan F Davenport Phd Inc 121 Carl Vinson Parkway Warner Robins GA 31088 Ph: (478) 922-2365 |
| NPI Number | 1043332778 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043332778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1969 (Georgia) | Primary |
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