Provider Demographics
NPI:1417126814
Name:BUDNEY, SARAH PUTNAM (MS CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:PUTNAM
Last Name:BUDNEY
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 BRIGHTON ST STE 315
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-4043
Mailing Address - Country:US
Mailing Address - Phone:781-696-7523
Mailing Address - Fax:
Practice Address - Street 1:26 BRIGHTON ST STE 315
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-4043
Practice Address - Country:US
Practice Address - Phone:781-696-7523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6892235Z00000X
12126596235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASP0214OtherBCBS