Banta, Marlissa Cristina
Banta, Marlissa Cristina is an individual health care provider with primary practice located at 1700 S Lincoln Ave , Lebanon PA 17042-7529. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Banta, Marlissa Cristina can be contacted via phone (717) 272-6621.Contact Information
Primary practice address
1700 S Lincoln Ave
Lebanon PA 17042-7529
Phone: (717) 272-6621
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS019301 | Pennsylvania |
Profile Details
| NPI number | 1174299945 |
|---|---|
| LBN Legal business name | Banta, Marlissa Cristina |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2021 |
| Last updated | Aug 20th, 2021 - about 3 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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