Individual
DR. JUDY ANN BANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
98 SOUTH SKILL CENTER ROAD, SACATON, AZ 85247
(520) 562-8600
(480) 763-4440
Mailing address
601 WEST LINGER LANE, PHOENIX, AZ 85021
(520) 562-8600
(480) 763-4440
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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