Atlantic Psychological Practice, P.A.

LBN: Atlantic Psychological Practice, P.A.
Atlantic Psychological Practice, P.A. is an health care organization with primary practice located at 106 Milford St Suite 104, Salisbury MD 21804-6953. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Atlantic Psychological Practice, P.A. can be contacted via phone (410) 543-8291, or through Todd, Mark R via phone (410) 543-8291.

Contact Information

Primary practice address
106 Milford St Suite 104 Salisbury MD 21804-6953
Phone: (410) 543-8291
Fax: (410) 341-6275
Website:
Map and Directions
Authorized official contact:
Name: Todd, Mark R PH.D.
Phone: (410) 543-8291

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1689722019
LBN Legal business name Atlantic Psychological Practice, P.A.
DBA Doing business as
Authorized official Todd, Mark R PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Mar 25th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689722019 NPPES
Maryland MEDICAID 408242700

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