Individual
JOE BANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 W METROPOLITAN DR STE 405, ORANGE, CA 92868-3504
(714) 834-4337
Mailing address
4000 W METROPOLITAN DR STE 405, ORANGE, CA 92868-3504
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
94028052
CA
103TR0400X
Rehabilitation Psychologist
Primary
—
CA
Other
Enumeration date
03/02/2026
Last updated
04/09/2026
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