Organization
ATLANTIC PSYCHOLOGICAL PRACTICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RICHARDSON TODD PH.D. (PRESIDENT)
(410) 543-8291
Entity
Organization
Contact information
Practice address
106 MILFORD ST., SUITE 104, SALISBURY, MD 21804-6966
(410) 543-8291
Mailing address
106 MILFORD ST., SUITE 104, SALISBURY, MD 21804-6966
(410) 543-8291
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2756
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
644221800
—
MD
Enumeration date
06/13/2006
Last updated
09/16/2008
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