Organization
SUSAN F DAVENPORT PHD INC
Active
Other names
Dr Susan F Davenport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN F DAVENPORT PHD (OWNER)
(478) 922-2365
Entity
Organization
Contact information
Practice address
121 CARL VINSON PARKWAY, WARNER ROBINS, GA 31088
(478) 922-2365
(478) 922-1778
Mailing address
121 CARL VINSON PARKWAY, WARNER ROBINS, GA 31088
(478) 922-2365
(478) 922-1778
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1969
GA
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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