Provider Demographics
NPI:1003036906
Name:BUDA O'TOOLE, MARIA P (LMHC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:P
Last Name:BUDA O'TOOLE
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:P
Other - Last Name:BUDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, NCC
Mailing Address - Street 1:2444 BAYWOOD DR E
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-2054
Mailing Address - Country:US
Mailing Address - Phone:727-736-0968
Mailing Address - Fax:
Practice Address - Street 1:2270 DREW ST
Practice Address - Street 2:SUITE C
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3344
Practice Address - Country:US
Practice Address - Phone:727-784-8244
Practice Address - Fax:727-287-9302
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5765101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health