Individual provider · Type 1 NPI

Marlissa Cristina Banta, PhD

Clinical Psychologist · Lebanon, PA

NPI number 1174299945 Active

Practice location

1700 S Lincoln Ave
Lebanon, PA 17042-7529

Call (717) 272-6621 Map

Mailing address

814 Franklin St
Wyomissing, PA 19610-3002

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPS019301 (PA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1174299945

Marlissa Cristina Banta, PhD's National Provider Identifier is 1174299945, issued on Aug 20, 2021. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lebanon, PA. The record was last updated on Aug 20, 2021.