Individual
DR. DIANNA MICHELLE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
606 N 4TH ST, LEWISBURG, PA 17837-1110
(570) 238-0193
Mailing address
606 N 4TH ST, LEWISBURG, PA 17837-1110
(570) 238-0193
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017290
PA
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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