| Dr Marlissa Cristina Banta, PHD | |
|
1700 S Lincoln Ave, Lebanon, PA 17042-7529 | |
| (717) 272-6621 | |
| Not Available |
| Full Name | Dr Marlissa Cristina Banta |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 1700 S Lincoln Ave, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174299945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS019301 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marlissa Cristina Banta, PHD 814 Franklin St, Wyomissing, PA 19610-3002 Ph: (610) 413-8345 | Dr Marlissa Cristina Banta, PHD 1700 S Lincoln Ave, Lebanon, PA 17042-7529 Ph: (717) 272-6621 |
Peter J Garito, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 94 Norway Ln, Lebanon, PA 17042 Phone: 717-926-0775 | |
Wayne Lawrence Roffer, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 | |
Dr. Bryan Gottlieb, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 964 Isabel Dr, Lebanon, PA 17042 Phone: 717-274-9777 Fax: 717-274-9815 | |
Melanie A Baer, PSY D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2452 | |
Julie A Gordon-dueck, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 964 Isabel Dr, Lebanon, PA 17042 Phone: 717-274-9777 Fax: 717-274-9815 | |
Dr. Melissa Snarski Cyrus, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 Fax: 717-228-5087 | |
Dr. Edward Dale, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 |