Organization
DAVENPORT PSYCHOLOGICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANDREW DAVENPORT SR. EDD (OWNER)
(856) 769-7255
Entity
Organization
Contact information
Practice address
101 N MAIN ST, WOODSTOWN, NJ 08098-1225
(856) 769-7255
Mailing address
101 N MAIN ST, WOODSTOWN, NJ 08098-1225
(856) 769-7255
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
376300
NJ
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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