Provider Demographics
NPI:1033517040
Name:BANERJEE, SUDHA (LMFT)
Entity type:Individual
Prefix:
First Name:SUDHA
Middle Name:
Last Name:BANERJEE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7013 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2285
Mailing Address - Country:US
Mailing Address - Phone:956-579-2346
Mailing Address - Fax:956-899-2429
Practice Address - Street 1:3800 RUBEN TORRES SR BLVD STE 203
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-7449
Practice Address - Country:US
Practice Address - Phone:956-579-2346
Practice Address - Fax:956-899-2429
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-08
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203460106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist