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NPI Code Detail

MEDICARE: MRS. TRICIA ANN BUDD M.S. CCC/SLP

MEDICARE: MRS. TRICIA ANN BUDD M.S. CCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist012664-1NY

General Provider Information

NPI Number : 1639316730
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRICIA ANN BUDD M.S. CCC/SLP
Provider Business Mailing Address
First Line : 260 SAGAMORE DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-2406
Country : US
Telephone Number : 585-615-2511
Fax Number :
Provider Business Practice Location Address
First Line : 131 W BROAD ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14614-1103
Country : US
Telephone Number : 585-262-8378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2009
Last Update Date : 09/03/2021

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Directions to “ MRS. TRICIA ANN BUDD M.S. CCC/SLP” Practice Location

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