Healthcare Provider Details

I. General information

NPI: 1205969649
Provider Name (Legal Business Name): ADAM JOSEPH SOWA PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8720 GEORGIA AVE SUITE 300
SILVER SPRING MD
20910-3638
US

IV. Provider business mailing address

5680 RAVENEL LN
SPRINGFIELD VA
22151-2431
US

V. Phone/Fax

Practice location:
  • Phone: 301-565-0534
  • Fax: 301-565-2217
Mailing address:
  • Phone: 703-321-4886
  • Fax: 703-321-4886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number4138
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4138
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number4138
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4138
License Number StateMD
# 5
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number4138
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: