Provider Demographics
NPI:1003963562
Name:SCHRUMPF, DAVID W (PHD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:SCHRUMPF
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 BEL AIR RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-2737
Mailing Address - Country:US
Mailing Address - Phone:410-877-2540
Mailing Address - Fax:410-877-2541
Practice Address - Street 1:2303 BEL AIR RD
Practice Address - Street 2:SUITE B
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2737
Practice Address - Country:US
Practice Address - Phone:410-877-2540
Practice Address - Fax:410-877-2541
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02013103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist