MEDICARE: ROBERT J. TEMPLE, MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	01696	MD
2	1041C0700X	Clinical Social Worker	05994	MD
3	1041C0700X	Clinical Social Worker	06844	MD
4	1041C0700X	Clinical Social Worker	03612	MD
5	1041C0700X	Clinical Social Worker	12245	MD
6	2084P0800X	Psychiatry Physician	D08491	MD
7	2084P0800X	Psychiatry Physician	D0053895	MD
8	1041C0700X	Clinical Social Worker	05114	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3614	OTHER	MD	CAREFIRST DC GROUP
2	KR98	OTHER	MD	CAREFIRST MD GROUP

General Provider Information

NPI Number	:	1902907447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT J. TEMPLE, MD PA

Provider Business Mailing Address
First Line	:	10630 LITTLE PATUXENT PKWY
Second Line	:	SUITE 212
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3264
Country	:	US
Telephone Number	:	410-740-0333
Fax Number	:	410-740-0332

Provider Business Practice Location Address
First Line	:	10630 LITTLE PATUXENT PKWY
Second Line	:	SUITE 212
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3264
Country	:	US
Telephone Number	:	410-740-0333
Fax Number	:	410-740-0332

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT J TEMPLE
Credential	:	M.D.
Telephone Number	:	410-740-0333

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	09/11/2025

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