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MR. MICHAEL PATRICK DAVENPORT PHD NPI 1659308104

NPI Profile

NPI: 1659308104

Provider Name: MR. MICHAEL PATRICK DAVENPORT, PHD

Classification: Psychologist - 103T00000X

Entity Type: Individual

Organization: M PATRICK DAVENPORT APPC

PECOS Registration: Yes

Address:
1002 HIGHLAND AVE
STE 300
SHREVEPORT, LA
ZIP 71101

Phone: (318) 222-6226

MR. Michael Patrick Davenport, PHD is a psychologist in Shreveport, LA with 32 years of experience. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. MR. Michael Patrick Davenport, PHD NPI is 1659308104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1002 HIGHLAND AVE
STE 300
SHREVEPORT, LA
ZIP 71101-143
Phone: (318) 222-6226
Fax: (318) 221-8526

The NPI 1659308104 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 7/8/2007.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 103T00000X Psychologist 464 LOUISIANA Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015