Organization
MARY DEAN ATWOOD PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DEAN ATWOOD PHD (PRESIDENT/PSYCHOLOGIST)
(941) 487-7890
Entity
Organization
Contact information
Practice address
4070 OAKHURST DR, SARASOTA, FL 34233-1444
(941) 487-7890
(941) 487-7890
Mailing address
4070 OAKHURST DR, SARASOTA, FL 34233-1444
(941) 487-7890
(941) 487-7890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
550
NM
251S00000X
Community/Behavioral Health Agency
550
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62786768
—
NM
Enumeration date
05/18/2006
Last updated
05/03/2012
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