Basic Information
| Provider Information | |||||||||
| NPI: | 1003036906 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUDA O'TOOLE | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | P. | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LMHC, NCC | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BUDA | ||||||||
| OtherFirstName: | MARIA | ||||||||
| OtherMiddleName: | P. | ||||||||
| OtherNamePrefix: | MISS | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | LMHC, NCC | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2444 BAYWOOD DR E | ||||||||
| Address2: | |||||||||
| City: | DUNEDIN | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346982054 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7277360968 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2270 DREW ST | ||||||||
| Address2: | SUITE C | ||||||||
| City: | CLEARWATER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337653344 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7277848244 | ||||||||
| FaxNumber: | 7272879302 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | MH5765 | FL | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.