Provider Demographics
NPI:1750860649
Name:BULUDIS, LYNDSEY YOUNG (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:YOUNG
Last Name:BULUDIS
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MARKET YARD STE 1
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2294
Mailing Address - Country:US
Mailing Address - Phone:732-547-8841
Mailing Address - Fax:
Practice Address - Street 1:2 MARKET YARD STE 1
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2294
Practice Address - Country:US
Practice Address - Phone:732-547-8841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00636600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional