MEDICARE: DR. JAMES ROBERT DAVID 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	1041C0700X	Clinical Social Worker	06363	MD
2	1041C0700X	Clinical Social Worker	04255	TX
3	106H00000X	Marriage & Family Therapist	LCM118	MD

General Provider Information

NPI Number	:	1811983497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ROBERT DAVID PH.D.

Provider Business Mailing Address
First Line	:	14220 BRADSHAW DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20905-6503
Country	:	US
Telephone Number	:	301-989-9155
Fax Number	:	301-989-9155

Provider Business Practice Location Address
First Line	:	14220 BRADSHAW DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20905-6503
Country	:	US
Telephone Number	:	301-989-9155
Fax Number	:	301-989-9155

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	09/11/2025

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