Davenport, Teresa L

Davenport, Teresa L is an individual health care provider with primary practice located at 201 W Springfield Ave Ste 211 , Champaign IL 61820. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Davenport, Teresa L can be contacted via phone (217) 621-6180.

Contact Information

Primary practice address
201 W Springfield Ave Ste 211 Champaign IL 61820
Phone: (217) 621-6180
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1851663256
LBN Legal business name Davenport, Teresa L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2012
Last updated Jun 27th, 2018 - about 6 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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