Provider Demographics
NPI:1710193156
Name:BOWMAN, MARGARET ROSE (PHD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ROSE
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1497 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4487
Mailing Address - Country:US
Mailing Address - Phone:301-682-9269
Mailing Address - Fax:301-682-9269
Practice Address - Street 1:1497 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4487
Practice Address - Country:US
Practice Address - Phone:301-682-9269
Practice Address - Fax:301-682-9269
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02446103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5780237OtherAETNA
MDGL16MROtherBLUE CROSS BLUE SHIELD
DCT385-0001OtherBLUE CROSS BLUE SHIELD