| Doctor Name: | MS. PATRICIA ANN BUSSELL |
| NPI Number: | 1023099041 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CMT, LMHC |
| License Number: | MH6327 |
| Business Practice Address: | 2020 26th Ave E Bradenton, FL - 342087753 |
| Business Phone Number: | 9417824600 |
| Business Fax Number: | |
| Mailing Address: | 4802 51st St W, #1714 BRADENTON |
| State: | FL |
| Postal Code: | 342105101 |
| Phone Number: | 9412280816 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH6327 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |