Individual provider · Type 1 NPI

Jennifer A. Banta, PhD

Clinical Psychologist · San Francisco, CA

NPI number 1629337944 Active

Practice location

815 Buena Vista Ave W, Walden House-Hafc Dual Recovery Program
San Francisco, CA 94117-4108

Fax (415) 558-4235

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XPSY20473 (CA)
Clinical Psychologist Primary 103TC0700XPSY20473 (CA)

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 1629337944

Jennifer A. Banta, PhD's National Provider Identifier is 1629337944, issued on May 7, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Francisco, CA. The record was last updated on May 7, 2012.