Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa Carol T Davenport, PHD

Individual provider Clinical Psychologist · NPI 1508995432

Dr. Lisa Carol T Davenport, PHD is a Clinical Psychologist in Weston, Florida. Qualified in 2003, 23 years ago. Works from 2 locations and offers telehealth. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

17100 Royal Palm Blvd Ste One
Weston, FL 33326
Phone: (954) 217-2444
Fax: (954) 217-9292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1931 Nw 150th Ave Ste 116, Pembroke Pines, FL 33028-2873 — (786) 383-1856

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY7447 (FL)

Record details

NPI number1508995432
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 5, 2007
Last updated in NPPESJuly 30, 2021
Certification dateJuly 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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