DR. Diane M Banic, PHD

NPI #1588808281 in Simpsonville, Kentucky

Provider Information

NPI Number
1588808281
Entity Type
Individual
Name
DR. Diane M Banic, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Credential
PHD
Enumeration Date
Apr 24, 2009
Last Updated
Apr 24, 2009

Practice Location

Address
1219 TAYLORWOOD RD
ZIP Code
40067
Phone
(502) 777-7339

Specialties & Taxonomy Codes

Specialty
Psychologist

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