Healthcare Provider Details

I. General information

NPI: 1841116845
Provider Name (Legal Business Name): JOHN R CLAYE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8181 PROFESSIONAL PL STE 200
LANDOVER MD
20785-7219
US

IV. Provider business mailing address

3600 GLENEAGLES DR APT 7-2D
SILVER SPRING MD
20906-1617
US

V. Phone/Fax

Practice location:
  • Phone: 301-306-4590
  • Fax: 301-880-0054
Mailing address:
  • Phone: 301-306-4590
  • Fax: 301-880-0054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberAC0278
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: