| Atlantic Psychological Practice, P.a. | |
|
106 Milford St Suite 104 Salisbury MD 21804-6953 | |
| (410) 543-8291 | |
| (410) 341-6275 |
| Full Name | Atlantic Psychological Practice, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 106 Milford St, Salisbury, Maryland |
| Authorized Official Name and Position | Mark R Todd (OWNER) |
| Authorized Official Contact | 4105438291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Psychological Practice, P.a. 106 Milford St Suite 104 Salisbury MD 21804-6953 Ph: (410) 543-8291 | Atlantic Psychological Practice, P.a. 106 Milford St Suite 104 Salisbury MD 21804-6953 Ph: (410) 543-8291 |
| NPI Number | 1689722019 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 03/25/2009 |
| Medicare PECOS PAC ID | 0345266565 |
|---|---|
| Medicare Enrollment ID | O20051018000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689722019 | NPI | - | NPPES |
| 408242700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
| Provider Name | Tina M Oakley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194809665 PECOS PAC ID: 9335165554 Enrollment ID: I20051018000268 |
| Provider Name | Mark Richardson Todd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881835023 PECOS PAC ID: 5799701918 Enrollment ID: I20051021000207 |
| Provider Name | Cindy Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700934841 PECOS PAC ID: 0648578450 Enrollment ID: I20160412000969 |
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