Debra L Davenport, MA, SPE | |
198 W Main St, Camden, TN 38320-1609 | |
(731) 584-1012 | |
(731) 584-3102 |
Full Name | Debra L Davenport |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 198 W Main St, Camden, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831221944 | NPI | - | NPPES |
5441084 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PE 11334 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Debra L Davenport, MA, SPE 12595 Highway 69a, Big Sandy, TN 38221-5066 Ph: (731) 584-1012 | Debra L Davenport, MA, SPE 198 W Main St, Camden, TN 38320-1609 Ph: (731) 584-1012 |
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