MEDICARE: DR. RICHARD ROBB RAYMOND PHD

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	PS020572	PA
2	103TC0700X	Clinical Psychologist	PSY2000033	DC
3	103TC0700X	Clinical Psychologist	024806	NY
4	103TC0700X	Clinical Psychologist	06526	MD
5	103TC0700X	Clinical Psychologist	0810007395	VA

General Provider Information

NPI Number	:	1033795422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD ROBB RAYMOND PHD

Provider Business Mailing Address
First Line	:	390 COMMERCE DR
Second Line	:	PMB336
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2600
Country	:	US
Telephone Number	:	424-272-1791
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 W ATHENS AVE
Second Line	:
City	:	ARDMORE
State	:	PA
Zip	:	19003-1368
Country	:	US
Telephone Number	:	424-272-1791
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	03/13/2026

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