Individual
DR. TERRYE ANN MARIE MOWATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10808 HICKORY RIDGE RD, COLUMBIA, MD 21044-3622
(410) 381-0060
(410) 381-0090
Mailing address
6304 EARLY GLOW CT, COLUMBIA, MD 21045-4498
(410) 381-0600
(410) 381-0090
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0053895
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BM752192
CDS LICENSE
MD
Enumeration date
08/31/2006
Last updated
05/21/2023
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