Individual
DR. KIM DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
424 S WASHINGTON ST, # 2A, ALEXANDRIA, VA 22314-4100
(703) 314-5756
Mailing address
424 S WASHINGTON ST, # 2A, ALEXANDRIA, VA 22314-4100
(703) 314-5756
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003696
VA
Other
Enumeration date
02/25/2009
Last updated
06/08/2014
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