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:
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Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710930367 NPPES
New Mexico MEDICAID 62786768

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