Individual
DR. MARIE BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
UTA HEALTH SERVICES, 605 S. WEST STREET, ARLINGTON, TX 76019-0329
(817) 272-2771
(817) 272-2744
Mailing address
UTA HEALTH SERVICES, BOX 19329, ARLINGTON, TX 76019-0329
(817) 272-2771
(817) 272-2744
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25625
TX
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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