Davenport, Michael Patrick

Davenport, Michael Patrick is an individual health care provider with primary practice located at 1002 Highland Ave Ste 300, Shreveport LA 71101-4143. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Davenport, Michael Patrick can be contacted via phone (318) 222-6226.

Contact Information

Primary practice address
1002 Highland Ave Ste 300 Shreveport LA 71101-4143
Phone: (318) 222-6226
Fax: (318) 221-8526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 464 Louisiana

Profile Details

NPI number 1659308104
LBN Legal business name Davenport, Michael Patrick
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659308104 NPPES
Louisiana Other 721409091001 HUMANA MILITARY

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