MARLISSA CRISTINA BANTA

LEBANON, PA
NPI1174299945
Former NameMARLISSA CRISTINA AMOLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: PA  PS019301)
Enumeration Date2021-08-20
Last Update Date2021-08-20
Business Address
DR. MARLISSA CRISTINA BANTA PHD
1700 S LINCOLN AVE
LEBANON, PA 17042-7529
Phone number: 717-272-6621
Mailing Address
DR. MARLISSA CRISTINA BANTA PHD
814 FRANKLIN ST
WYOMISSING, PA 19610-3002
Phone number: 610-413-8345
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