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NPI 1801989157

NPI 1801989157 : LINDA BUDD PHD, LP, LMFT, RPT-S : SAINT PAUL, MN

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General NPI Number Information
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    NPI Number           |    1801989157
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA BUDD PHD, LP, LMFT, RPT-S
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/01/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2301 COMO AVE SUITE 204
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55108-1718
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    Country              |    US
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    Telephone            |    651-644-8235
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    Fax                  |    651-765-1834
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Provider Business Mailing Address
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    Address Line         |    2301 COMO AVE SUITE 204
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55108-1718
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    Country              |    US
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    Telephone            |    651-644-8235
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    Fax                  |    651-765-1834
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    2628
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    0244
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    License Number State |    MN
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