Organization · Type 2 NPI

Amelia Davenport, Concinnity Group

Health Service Psychologist · Blue Springs, MO

NPI number 1043421480 Active

Practice location

1104 SE Graham Ridge Rd
Blue Springs, MO 64014-4101

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC-2004033828 (MO)
Psychologist 103T00000XLP-1639 (KS)
Health Service Psychologist Primary 103TH0100X2007015259 (MO)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

About NPI 1043421480

Amelia Davenport, Concinnity Group's National Provider Identifier is 1043421480, issued on May 25, 2007. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Blue Springs, MO. The record was last updated on Jan 4, 2009.