| Mary Dean Atwood Phd Llc | |
|
4070 Oakhurst Dr Sarasota FL 34233-1444 | |
| (941) 487-7890 | |
| (941) 487-7890 |
| Full Name | Mary Dean Atwood Phd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4070 Oakhurst Dr, Sarasota, Florida |
| Authorized Official Name and Position | Mary Dean Atwood (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 9414877890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Dean Atwood Phd Llc 4070 Oakhurst Dr Sarasota FL 34233-1444 Ph: (941) 487-7890 | Mary Dean Atwood Phd Llc 4070 Oakhurst Dr Sarasota FL 34233-1444 Ph: (941) 487-7890 |
| NPI Number | 1760435754 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 05/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760435754 | NPI | - | NPPES |
| 62786768 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 550 (New Mexico) | Primary |
| 251S00000X | Community/behavioral Health | 550 (New Mexico) | Secondary |
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