Scott Lane Cameron, PHD
Individual provider Active NPI Clinical Psychologist · Cabin John, MD
NPI 1891906384 · NPPES record last updated Oct 12, 2012
Key facts
- NPI
- 1891906384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 04159 (MD)
- Practice address
- 7945 Macarthur Blvd Ste 221
Cabin John, MD 20818-1634 - Phone
- (301) 233-0927
- Fax
- (301) 365-3633
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04159 | MD | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04159 | MD | Yes |
Addresses
Primary practice location
7945 Macarthur Blvd Ste 221
Cabin John, MD 20818-1634
Mailing address
7945 Macarthur Blvd Ste 221
Cabin John, MD 20818-1634
Phone (301) 233-0927
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04159 | Other | MD | PSYCHOLOGIST LICENSE |
| 02-0785612 | Other | MD | FEDERAL TAX ID |
Other providers in Cabin John, MD
- William John Alloway
- Kelly Alpert
- Arman C. Moshyedi, MD, LLC
- Samantha Ascanio
- Cabin John Psychiatry, LLC
- Change Academy at Lake of the Ozarks
- Walda Lynne Ciafone
- Mary Louise Craver
- Dipika Satyen Daga
- Heather Gail Dailey
All providers in Cabin John, MD · Clinical Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.