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Organization

DIANNA BANKS PHD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANNA MICHELLE BANKS (OWNER/PSYCHOLOGIST)
(570) 939-0857
Entity
Organization

Contact information

Practice address
115 FARLEY CIR STE 113, LEWISBURG, PA 17837-9252
(570) 238-0193
Mailing address
115 FARLEY CIR STE 113, LEWISBURG, PA 17837-9252
(570) 238-0193

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017290
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063753549
INDIVIDUAL NPI
Enumeration date
06/20/2018
Last updated
12/23/2023
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