Provider Demographics
NPI:1538193693
Name:BUDRIONIS, MARGARITA M (PSYD)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:M
Last Name:BUDRIONIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:
Other - Last Name:BUDRIONIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:2580 POTTERS RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-4324
Mailing Address - Country:US
Mailing Address - Phone:757-498-9391
Mailing Address - Fax:757-498-7073
Practice Address - Street 1:2580 POTTERS RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-4324
Practice Address - Country:US
Practice Address - Phone:757-498-9391
Practice Address - Fax:757-498-7073
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0812000210103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA331795OtherANTHEM BCBS OF VA
VA7708351Medicaid
VA004214OtherVALUE OPTIONS
VAO86933OtherSENTARA/OPTIMA HEALTH