Todd, Mark Richardson

Todd, Mark Richardson is an individual health care provider with primary practice located at 106 Milford Street Suite 104, Salisbury MD 21804-6966. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Todd, Mark Richardson can be contacted via phone (410) 543-8291.

Contact Information

Primary practice address
106 Milford Street Suite 104 Salisbury MD 21804-6966
Phone: (410) 543-8291
Fax: (410) 341-6275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2756 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2756 Maryland
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2756 Maryland

Profile Details

NPI number 1881835023
LBN Legal business name Todd, Mark Richardson
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2009
Last updated Mar 18th, 2009 - about 16 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 1881835023 NPPES
Maryland MEDICAID 64221800

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