Individual
DR. CAROL A. BUDZENSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
427 N DEFIANCE ST, STRYKER, OH 43557-9472
(419) 682-1011
(419) 682-6097
Mailing address
PO BOX 197, WATERVILLE, OH 43566-0197
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3855
OH
103TC0700X
Clinical Psychologist
Primary
3855
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128817
ANTHEM BC/BS
OH
01
—
02989
PARAMOUNT HEALTHCARE
—
05
—
0891085
—
OH
Enumeration date
01/24/2008
Last updated
01/24/2008
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