Atwood, Mary
Atwood, Mary is an sole proprietor health care provider with primary practice located at 4070 Oakhurst Dr , Sarasota FL 34233-1444. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Atwood, Mary can be contacted via phone (941) 487-7890.Contact Information
Primary practice address
4070 Oakhurst Dr
Sarasota FL 34233-1444
Phone: (941) 487-7890
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY8128 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 550 | New Mexico |
Profile Details
| NPI number | 1710930367 |
|---|---|
| LBN Legal business name | Atwood, Mary |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Feb 17th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710930367 | NPPES |
| New Mexico | MEDICAID | 62786768 |
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