Provider Demographics
NPI:1396835542
Name:BOWES, LORIANN MARIE (MA)
Entity Type:Individual
Prefix:MRS
First Name:LORIANN
Middle Name:MARIE
Last Name:BOWES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:TALL TIMBERS
Mailing Address - State:MD
Mailing Address - Zip Code:20690
Mailing Address - Country:US
Mailing Address - Phone:301-994-0919
Mailing Address - Fax:301-862-2965
Practice Address - Street 1:44101 AIRPORT VIEW DRIVE
Practice Address - Street 2:PATHWAYS
Practice Address - City:HOLLYWOOD
Practice Address - State:MD
Practice Address - Zip Code:20636
Practice Address - Country:US
Practice Address - Phone:301-373-3065
Practice Address - Fax:301-373-6143
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health