MEDICARE: DR. DAVID WILLIAM DESMOND PH.D.

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	103G00000X	Clinical Neuropsychologist	PY6547	FL
2	103TC0700X	Clinical Psychologist	PY6547	FL

General Provider Information

NPI Number	:	1760539696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID WILLIAM DESMOND PH.D.

Provider Business Mailing Address
First Line	:	160 WOODBRIDGE RD
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-5012
Country	:	US
Telephone Number	:	561-832-0833
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 WOODBRIDGE RD
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-5012
Country	:	US
Telephone Number	:	561-832-0833
Fax Number	:

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

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	09/11/2025

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