Davenport, Lisa Carol T

Davenport, Lisa Carol T is an individual health care provider with primary practice located at 17100 Royal Palm Boulevard Suite One, Weston FL 33326. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davenport, Lisa Carol T can be contacted via phone (954) 217-2444.

Contact Information

Primary practice address
17100 Royal Palm Boulevard Suite One Weston FL 33326
Phone: (954) 217-2444
Fax: (954) 217-9292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY7447 Florida

Profile Details

NPI number 1508995432
LBN Legal business name Davenport, Lisa Carol T
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 30th, 2021 - about 3 years ago

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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