MEDICARE: MR. DAVID BOYCE MCWHIRTER MSW

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	1041C0700X	Clinical Social Worker	9522	CA

General Provider Information

NPI Number	:	1194856948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID BOYCE MCWHIRTER MSW

Provider Business Mailing Address
First Line	:	7918 EL ASTILLERO PL
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92009-9213
Country	:	US
Telephone Number	:	858-518-1525
Fax Number	:	760-436-3498

Provider Business Practice Location Address
First Line	:	2835 CAMINO DEL RIO S
Second Line	:	SUITE 120 C
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3825
Country	:	US
Telephone Number	:	858-518-1525
Fax Number	:	760-436-3498

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	04/24/2013

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