TERESA L DAVENPORT

CHAMPAIGN, IL
NPI1851663256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
Enumeration Date2012-01-31
Last Update Date2018-06-27
Business Address
TERESA L DAVENPORT PhD
201 W SPRINGFIELD AVE STE 211
CHAMPAIGN, IL 61820
Phone number: 217-621-6180
Mailing Address
TERESA L DAVENPORT PhD
40 CAMELOT DR
FOND DU LAC, WI 54935-8049
Phone number: 920-907-8201