Budinger, Tara Jeanine

Budinger, Tara Jeanine is an sole proprietor health care provider with primary practice located at 751 Lombardi Ct , Santa Rosa CA 95407-6798. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Budinger, Tara Jeanine can be contacted via phone (707) 547-2222.

Contact Information

Primary practice address
751 Lombardi Ct Santa Rosa CA 95407-6798
Phone: (707) 547-2222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 14245 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2887 Colorado

Profile Details

NPI number 1831163716
LBN Legal business name Budinger, Tara Jeanine
Credentials PH D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Feb 4th, 2016 - about 10 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 1831163716 NPPES
Other P00228619 RR MEDICARE PIN
MEDICAID 64421376 RR MEDICARE PIN

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