Individual
MICHAEL JAMES DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-A
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104
(215) 823-4073
(215) 823-4585
Mailing address
47 GROVE AVE, FLOURTOWN, PA 19031-1906
(215) 823-4073
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000877L
PA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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