Individual
SHELLY DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 SW OAKLEY AVE, TOPEKA, KS 66606-2039
(785) 273-2252
Mailing address
5401 SW 7TH ST, TOPEKA, KS 66606-2330
(785) 273-2252
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03317
KS
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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