Provider Demographics
NPI:1538208376
Name:BUDD THERAPY GROUP,LLC
Entity type:Organization
Organization Name:BUDD THERAPY GROUP,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:HENDERSON
Authorized Official - Last Name:TEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:908-323-1003
Mailing Address - Street 1:50 WEBER AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-7039
Mailing Address - Country:US
Mailing Address - Phone:908-323-1003
Mailing Address - Fax:
Practice Address - Street 1:3644 VALLEY ROAD
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1937
Practice Address - Country:US
Practice Address - Phone:908-813-2455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC013951001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty