Provider Demographics
NPI:1841347820
Name:KEMMERER, RAYMOND WILLIAM (MS)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:WILLIAM
Last Name:KEMMERER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 WHITTIER PL NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2524
Mailing Address - Country:US
Mailing Address - Phone:202-210-9218
Mailing Address - Fax:202-722-1439
Practice Address - Street 1:812 WHITTIER PL NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2524
Practice Address - Country:US
Practice Address - Phone:202-210-9218
Practice Address - Fax:202-722-1439
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC211101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional