Individual
DR. MARLENE JEANETTE MOWERY
Active
Individual
DR. MARLENE JEANETTE MOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
#322
MT
103TC0700X
Clinical Psychologist
322
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000051741
BLUE CROSS/SHIELD OF MT
MT
01
—
680015337
RAILROAD MEDICARE
MT
Enumeration date
07/19/2006
Last updated
01/05/2012
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