Provider Demographics
NPI:1750483145
Name:MCWAY, JOHN D (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:MCWAY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:D.
Other - Middle Name:D
Other - Last Name:MCWAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:8307 PHILADELPHIA RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2927
Mailing Address - Country:US
Mailing Address - Phone:410-687-7700
Mailing Address - Fax:410-687-7702
Practice Address - Street 1:8307 PHILADELPHIA RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-2927
Practice Address - Country:US
Practice Address - Phone:410-687-7700
Practice Address - Fax:410-687-7702
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03981103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical