| Regina M. Budesa, Psyd, Limited Liability Company | |
|
280 Bloomfield Ave Verona NJ 07044-2426 | |
| (973) 897-7774 | |
| Not Available |
| Full Name | Regina M. Budesa, Psyd, Limited Liability Company |
|---|---|
| Speciality | Psychologist |
| Location | 280 Bloomfield Ave, Verona, New Jersey |
| Authorized Official Name and Position | Regina M. Budesa (OWNER) |
| Authorized Official Contact | 9738977774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regina M. Budesa, Psyd, Limited Liability Company 280 Bloomfield Ave Verona NJ 07044-2426 Ph: (973) 897-7774 | Regina M. Budesa, Psyd, Limited Liability Company 280 Bloomfield Ave Verona NJ 07044-2426 Ph: (973) 897-7774 |
| NPI Number | 1215345814 |
|---|---|
| Provider Enumeration Date | 07/27/2014 |
| Last Update Date | 09/17/2014 |
| Medicare PECOS PAC ID | 3274752662 |
|---|---|
| Medicare Enrollment ID | O20140917001262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215345814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35S100428900 (New Jersey) | Primary |
| Provider Name | Regina M Budesa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336271717 PECOS PAC ID: 1052530441 Enrollment ID: I20140917001544 |
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