Provider Demographics
NPI:1225792807
Name:BUTLER, MEGHAN CATHERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:CATHERINE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9611 NANSEMOND BAY ST APT 205
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-6022
Mailing Address - Country:US
Mailing Address - Phone:313-303-0994
Mailing Address - Fax:
Practice Address - Street 1:2520 MIDWAY RD BLDG 1618
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23459-9305
Practice Address - Country:US
Practice Address - Phone:757-613-3277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2022-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10233103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling