Butala, Jessica Marie

Butala, Jessica Marie is an individual health care provider with primary practice located at 2402 Atherholt Rd , Lynchburg VA 24501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Butala, Jessica Marie can be contacted via phone (434) 947-5967.

Contact Information

Primary practice address
2402 Atherholt Rd Lynchburg VA 24501
Phone: (434) 947-5967
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0102205632 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0102205632 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OS019421 Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X OSO19421 Pennsylvania

Profile Details

NPI number 1578983854
LBN Legal business name Butala, Jessica Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2014
Last updated Jan 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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