Individual
DR. JAMES T DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
10343 S WESTERN AVE, THE PSYCHOLOGY CENTER INC, CHICAGO, IL 60643-2410
(773) 238-2828
Mailing address
10713 E DORIC CIR, THE PSYCHOLOGY CENTER INC, PALOS HILLS, IL 60465-2220
(773) 238-2828
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
106H00000X
Marriage & Family Therapist
—
IL
Other
Enumeration date
10/20/2005
Last updated
09/18/2007
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