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Organization
ATLANTIC PSYCHOLOGICAL PRACTICE, P.A.
Active
Organization
ATLANTIC PSYCHOLOGICAL PRACTICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R TODD PH.D. (OWNER)
(410) 543-8291
Entity
Organization
Contact information
Practice address
106 MILFORD ST, SUITE 104, SALISBURY, MD 21804-6953
(410) 543-8291
(410) 341-6275
Mailing address
106 MILFORD ST, SUITE 104, SALISBURY, MD 21804-6953
(410) 543-8291
(410) 341-6275
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
03/25/2009
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