Provider Demographics
NPI:1154031284
Name:HENRY, TERRIANN M
Entity type:Individual
Prefix:MS
First Name:TERRIANN
Middle Name:M
Last Name:HENRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 KINSMAN VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1649
Mailing Address - Country:US
Mailing Address - Phone:443-741-5029
Mailing Address - Fax:
Practice Address - Street 1:21 KINSMAN VIEW CIR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1649
Practice Address - Country:US
Practice Address - Phone:443-741-5029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15081101200000X, 102X00000X, 111NR0400X, 1223X0008X, 132700000X, 183500000X, 133N00000X, 171M00000X, 207RH0003X, 207RR0500X, 224ZR0403X, 225200000X, 405300000X, 146L00000X
MD374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
No101200000XBehavioral Health & Social Service ProvidersDrama Therapist
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology
No132700000XDietary & Nutritional Service ProvidersDietary Manager
No183500000XPharmacy Service ProvidersPharmacist
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No224ZR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantDriving and Community Mobility
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No405300000XOther Service ProvidersPrevention Professional