Organization
AMELIA DAVENPORT, CONCINNITY GROUP
Active
Other names
Clinical Associates, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMELIA S. DAVENPORT PSY.D. (OWNER)
(816) 225-0562
Entity
Organization
Contact information
Practice address
1104 SE GRAHAM RIDGE RD, BLUE SPRINGS, MO 64014-4101
(816) 225-0562
Mailing address
1104 SE GRAHAM RIDGE RD, BLUE SPRINGS, MO 64014-4101
(816) 225-0562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-2004033828
MO
103T00000X
Psychologist
LP-1639
KS
103TH0100X
Health Service Psychologist
Primary
2007015259
MO
Other
Enumeration date
05/25/2007
Last updated
01/04/2009
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