Healthcare Provider Details

I. General information

NPI: 1528255163
Provider Name (Legal Business Name): MARGARET ANNE BUDD PHD,MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAGGI A BUDD PHD, MPH

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 06/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 BELMONT ST SPINAL CORD INJURY DIVISION
BROCKTON MA
02301-5596
US

IV. Provider business mailing address

15 WADSWORTH ST
QUINCY MA
02171-1819
US

V. Phone/Fax

Practice location:
  • Phone: 774-826-2614
  • Fax:
Mailing address:
  • Phone: 617-877-0426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number9091
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: