Provider Demographics
NPI:1841728946
Name:BOWIE, MAUREEN ELIZABETH (TEACHER)
Entity type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:ELIZABETH
Last Name:BOWIE
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:ELIZABETH
Other - Last Name:HARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 CORD LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-3903
Mailing Address - Country:US
Mailing Address - Phone:713-416-2946
Mailing Address - Fax:
Practice Address - Street 1:17 CORD LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-3903
Practice Address - Country:US
Practice Address - Phone:713-416-2946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY436668174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist