Individual
DR. DAVID ANDREW DAVENPORT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
101 N MAIN ST, WOODSTOWN, NJ 08098-1225
(856) 769-7255
(856) 769-7281
Mailing address
101 N MAIN ST, WOODSTOWN, NJ 08098-1225
(856) 769-7255
(856) 769-7281
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3763
NJ
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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