Individual
ALISSA BANYASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 293-4540
Mailing address
2905 MARION PKWY, BRUNSWICK, OH 44212-1446
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/12/2014
Last updated
07/08/2015
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