DR. Judy Ann Banta, ED.D.

NPI #1295957256 in Sacaton, Arizona

Provider Information

NPI Number: 1295957256
Entity Type: Individual
Name: DR. Judy Ann Banta, ED.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: ED.D.
Enumeration Date: May 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 98 SOUTH SKILL CENTER ROAD
City: Sacaton
State: Arizona
ZIP Code: 85247
Phone: (520) 562-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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