Healthcare Provider Details

I. General information

NPI: 1780026179
Provider Name (Legal Business Name): JULIE ANN BUDDENSICK PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2013
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 N LOUDOUN ST STE 206
WINCHESTER VA
22601-4798
US

IV. Provider business mailing address

9 N LOUDOUN ST STE 206
WINCHESTER VA
22601-4798
US

V. Phone/Fax

Practice location:
  • Phone: 540-331-1306
  • Fax:
Mailing address:
  • Phone: 540-331-1306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810007628
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: