Individual
DR. MARIANNE HATLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 ADMIRAL COCHRANE DR STE 110, ANNAPOLIS, MD 21401-8445
(443) 370-2922
Mailing address
1124 S KENWOOD AVE, BALTIMORE, MD 21224-4731
(443) 538-5678
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0056774
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D56774
MEDICAL LICENSE
MD
Enumeration date
08/08/2019
Last updated
08/08/2019
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