Individual provider · Type 1 NPI

Patrice Davenport

Developmental Therapist · Takoma Park, MD

NPI number 1013449990 Active

Practice location

7603 16th Ave
Takoma Park, MD 20912-7037

Mailing address

8020 Greenbelt Station Pkwy, Apt 210
Greenbelt, MD 20770-4174

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X30-2338 (MD)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

Another provider at this address

About NPI 1013449990

Patrice Davenport's National Provider Identifier is 1013449990, issued on Mar 30, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Takoma Park, MD. The record was last updated on Mar 30, 2017.