Provider Demographics
NPI:1780026179
Name:BUDDENSICK, JULIE ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:BUDDENSICK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 N LOUDOUN ST STE 206
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4798
Mailing Address - Country:US
Mailing Address - Phone:540-331-1306
Mailing Address - Fax:
Practice Address - Street 1:9 N LOUDOUN ST STE 206
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4798
Practice Address - Country:US
Practice Address - Phone:540-331-1306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810007628103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical