| Atlantic Psychological Practice, P.a. | |
|
106 Milford St. Suite 104 Salisbury MD 21804-6966 | |
| (410) 543-8291 | |
| Not Available |
| Full Name | Atlantic Psychological Practice, P.a. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 106 Milford St., Salisbury, Maryland |
| Authorized Official Name and Position | Mark Richardson Todd (PRESIDENT) |
| Authorized Official Contact | 4105438291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Psychological Practice, P.a. 106 Milford St. Suite 104 Salisbury MD 21804-6966 Ph: (410) 543-8291 | Atlantic Psychological Practice, P.a. 106 Milford St. Suite 104 Salisbury MD 21804-6966 Ph: (410) 543-8291 |
| NPI Number | 1821031543 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821031543 | NPI | - | NPPES |
| 644221800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2756 (Maryland) | Primary |
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