CHARLES R DAVENPORT PSYD LLC
Marriage and Family Therapists in Venice, FL

License number
Florida PY7978
Category
Social Work
Type
Clinical
License number
Florida PY7978
Category
Social Work
Type
Clinical Child & Adolescent
License number
Florida PY7978
Category
Marriage and Family Therapists
Type
Family
Owner
Name: DR. CHARLES ROBERT DAVENPORT PSY.D.
Title: MANAGING MEMBER
Phone: (941) 321-1971
Address
Address
1525 A SUITE 603, Venice, FL 34285
National Provider ID: 1063797504
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CHARLES R DAVENPORT PSYD LLC at bizstanding.com

Charles R Davenport Psy.D., LLC

1525 Tamiami Trl S STE 603A, Venice, FL 34285

Industry:
Nonclassifiable Establishments, Specialty Outpatient Clinic
Doing business as:
Charles R. Davenport, Psy.D., LC
Registration:
Sep 9, 2011
Site:
drcharlesdavenport.com
Phone:
(941) 321-1971 (Phone), (941) 866-0936 (Fax)
State ID:
L11000104115
Business type:
Florida Limited Liability
Managing Member:
Charles R. Davenport (Managing Member)
Categories:
Psychologists

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