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Individual
DR. MARK RICHARDSON TODD
Active
Individual
DR. MARK RICHARDSON TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
2756
MD
103TC0700X
Clinical Psychologist
2756
MD
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2756
MD
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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