Provider Demographics
NPI:1932658424
Name:CONTEE-DAVIS, ROSHONDA DEMETRIA (PSYD)
Entity Type:Individual
Prefix:
First Name:ROSHONDA
Middle Name:DEMETRIA
Last Name:CONTEE-DAVIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9505 CRAIN HWY
Mailing Address - Street 2:
Mailing Address - City:BEL ALTON
Mailing Address - State:MD
Mailing Address - Zip Code:20611-3144
Mailing Address - Country:US
Mailing Address - Phone:301-932-0700
Mailing Address - Fax:
Practice Address - Street 1:9505 CRAIN HWY
Practice Address - Street 2:
Practice Address - City:BEL ALTON
Practice Address - State:MD
Practice Address - Zip Code:20611-3144
Practice Address - Country:US
Practice Address - Phone:301-932-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA416101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)