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Contact Information

DIANE M BANIC, PHD
1219 TAYLORWOOD RD
SIMPSONVILLE, KY40067
 Phone: 502-777-7339
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DIANE M BANIC · (Female)

NPI # 1588808281
Status Active
Credentials PHD
Entity Individual
Enumeration date 04/24/2009
Last updated 04/24/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 0830
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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