Provider Demographics
NPI:1144425992
Name:MARK READER, PH.D., P.A.
Entity Type:Organization
Organization Name:MARK READER, PH.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:READER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-484-7780
Mailing Address - Street 1:3655 OLD COURT RD
Mailing Address - Street 2:SUITE 22
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3905
Mailing Address - Country:US
Mailing Address - Phone:410-484-7780
Mailing Address - Fax:410-653-9415
Practice Address - Street 1:3655 OLD COURT RD
Practice Address - Street 2:SUITE 22
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-3905
Practice Address - Country:US
Practice Address - Phone:410-484-7780
Practice Address - Fax:410-653-9415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty