Provider Demographics
NPI:1265557540
Name:OWENS, CAROL ANN (M D)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANN
Last Name:OWENS
Suffix:
Gender:F
Credentials:M D
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 1675
Mailing Address - Street 2:9645 CEDAR LANE
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-8975
Mailing Address - Country:US
Mailing Address - Phone:302-629-0448
Mailing Address - Fax:
Practice Address - Street 1:18 N WALNUT ST
Practice Address - Street 2:CHILD DEVELOPMENT WATCH
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1446
Practice Address - Country:US
Practice Address - Phone:302-424-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-00025192080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics