Individual
DR. KALEIGH BANTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
125 EMERYVILLE DR, SUITE 230, CRANBERRY TOWNSHIP, PA 16066-5020
(724) 609-5002
Mailing address
125 EMERYVILLE DR, SUITE 230, CRANBERRY TOWNSHIP, PA 16066-5020
(724) 609-5002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018036
PA
103TS0200X
School Psychologist
—
—
Other
Enumeration date
12/19/2013
Last updated
03/08/2017
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