Individual
DR. JOHN RICHARD DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
19563 E MAINSTREET STE 200, PARKER, CO 80138-7394
(720) 441-3537
Mailing address
19563 E MAINSTREET STE 200, PARKER, CO 80138-7394
(720) 441-3537
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0005677
CO
103TS0200X
School Psychologist
352438
CO
Other
Enumeration date
06/24/2021
Last updated
11/12/2021
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