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Contact Information

JUDY A BANTA, ED.D.
98 SOUTH SKILL CENTER ROAD
SACATON, AZ85247
 Phone: 520-562-8600
 Fax: 480-763-4440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JUDY A BANTA · (Female)

NPI Number 1295957256
Status Active
Credentials ED.D.
Entity Individual
Enumeration date 05/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
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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