Davenport, Larry C

Davenport, Larry C is an individual health care provider with primary practice located at 2020 Brown St , Anderson IN 46016-4218. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Davenport, Larry C can be contacted via phone (317) 574-1254.

Contact Information

Primary practice address
2020 Brown St Anderson IN 46016-4218
Phone: (317) 574-1254
Fax: (317) 674-0060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1396804548
LBN Legal business name Davenport, Larry C
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Apr 9th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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