Healthcare Provider Details

I. General information

NPI: 1861488322
Provider Name (Legal Business Name): JOHN RAYMOND MAY PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10774 HICKORY RIDGE RD
COLUMBIA MD
21044-3646
US

IV. Provider business mailing address

10774 HICKORY RIDGE RD
COLUMBIA MD
21044-3646
US

V. Phone/Fax

Practice location:
  • Phone: 410-992-7288
  • Fax: 410-997-2880
Mailing address:
  • Phone: 410-992-7288
  • Fax: 410-997-2880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number508
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number508
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: