Provider Demographics
NPI:1669675161
Name:COREY, MARIA TRENT (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:TRENT
Last Name:COREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:LEE
Other - Last Name:TRENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2086 GENERALS HWY STE 304
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-6759
Mailing Address - Country:US
Mailing Address - Phone:443-837-7084
Mailing Address - Fax:226-777-0317
Practice Address - Street 1:2086 GENERALS HWY STE 304
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-6759
Practice Address - Country:US
Practice Address - Phone:443-837-7084
Practice Address - Fax:226-777-0317
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD726342084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE