Karen B Davenport, Ph.D.
Clinical Neuropsychologist in Marlton, NJ. Individual provider (NPI-1).
NPI number1124218318
StatusActive
Last updated in NPPESJul 25, 2007
Details
- NPI
- 1124218318
- Entity type
- Individual (NPI-1)
- Name
- Karen B Davenport
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2007
- Last updated
- Jul 25, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 35SI00404200 | NJ | Yes |
Other names
- Karen Bissiri (Former Name)
Practice location
92 Brick RdMarlton, NJ 08053-2177
Phone 856-988-4127 · Fax 609-261-7199
Mailing address
1 Cortland Shire DrMoorestown, NJ 08057-3944
Phone 856-261-0067 · Fax 609-261-7199
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