Provider Demographics
NPI:1528255163
Name:BUDD, MARGARET ANNE (PHD,MPH)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANNE
Last Name:BUDD
Suffix:
Gender:F
Credentials:PHD,MPH
Other - Prefix:
Other - First Name:MAGGI
Other - Middle Name:A
Other - Last Name:BUDD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, MPH
Mailing Address - Street 1:15 WADSWORTH ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-1819
Mailing Address - Country:US
Mailing Address - Phone:617-877-0426
Mailing Address - Fax:
Practice Address - Street 1:940 BELMONT ST
Practice Address - Street 2:SPINAL CORD INJURY DIVISION
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5596
Practice Address - Country:US
Practice Address - Phone:774-826-2614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
MA9091103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist