Debra L Davenport, MA, SPE is a
Psychologist based in Camden, Tennessee. Debra L Davenport is licensed to practice in Tennessee (license number PE 11334) and her current practice location is
198 W Main St, Camden, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(731) 584-1012.
NPI number for Debra L Davenport is 1831221944 and her current mailing address is 12595 Highway 69a, Big Sandy, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831221944.
Healthcare Provider's Profile
| Full Name | Debra L Davenport |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 198 W Main St, Camden, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831221944
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Debra L Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831221944 | NPI | - | NPPES |
| 5441084 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PE 11334 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Debra L Davenport is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Debra L Davenport, MA, SPE
12595 Highway 69a,
Big Sandy, TN 38221-5066
Ph: (731) 584-1012 | Debra L Davenport, MA, SPE
198 W Main St,
Camden, TN 38320-1609
Ph: (731) 584-1012 |
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