Doctor Name: | MRS. RITA R CUDA |
NPI Number: | 1003968025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 000495 1 |
Business Practice Address: | 3350 Main Street Buffalo, NY - 14214 |
Business Phone Number: | 7168354011 |
Business Fax Number: | 7168350253 |
Mailing Address: | 3350 Main Street, BUFFALO |
State: | NY |
Postal Code: | 14214 |
Phone Number: | 7168354011 |
Fax Number: | 7168350253 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 000495 1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |