Individual
REBECCA CONRAD DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2 HEALTH CENTER DR, OU COUNSELING AND PSYCHOLOGICAL SERVICES, ATHENS, OH 45701-2907
(740) 593-1616
(740) 593-0091
Mailing address
2 HEALTH CENTER DR, OU COUNSELING AND PSYCHOLOGICAL SERVICES, ATHENS, OH 45701-2907
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5860
OH
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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