Provider Demographics
NPI:1477570836
Name:BUDD, CHRISTI L (MED, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:L
Last Name:BUDD
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 JANICE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31639-2649
Mailing Address - Country:US
Mailing Address - Phone:229-686-9437
Mailing Address - Fax:229-543-2839
Practice Address - Street 1:415 JANICE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:GA
Practice Address - Zip Code:31639-2649
Practice Address - Country:US
Practice Address - Phone:229-686-9437
Practice Address - Fax:229-543-2839
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP005702235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist