Individual
DR. SCOTT LANE CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7945 MACARTHUR BLVD STE 221, CABIN JOHN, MD 20818-1634
(301) 233-0927
(301) 365-3633
Mailing address
7945 MACARTHUR BLVD STE 221, CABIN JOHN, MD 20818-1634
(301) 233-0927
(301) 365-3633
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04159
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-0785612
FEDERAL TAX ID
MD
01
—
04159
PSYCHOLOGIST LICENSE
MD
Enumeration date
05/25/2007
Last updated
10/12/2012
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