# ATLANTIC PSYCHOLOGICAL PRACTICE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689722019
- **Authorized official:** DR. MARK R TODD PH.D. (OWNER)
- **Authorized official phone:** (410) 543-8291

## Contact information

- **Practice address:** 106 MILFORD ST, SUITE 104, SALISBURY, MD 21804-6953
- **Practice address phone:** (410) 543-8291
- **Practice address fax:** (410) 341-6275
- **Mailing address:** 106 MILFORD ST, SUITE 104, SALISBURY, MD 21804-6953
- **Mailing address phone:** (410) 543-8291
- **Mailing address fax:** (410) 341-6275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 03/25/2009