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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELAINE BANTA PHD PA

Active Organization

ELAINE BANTA PHD PA is a Clinical Psychologist organization located in JUPITER, Florida. NPI 1235184920 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · JUPITER, FL

Registration Details

NPI Number
1235184920
Provider Type
Organization
NPI Issued
May 23, 2006 (20.204992458021 yrs)
Last Updated
Dec 5, 2011
Licenses
NC1669NC (NC)
PY4354FL (FL)

Practice Information

Address
725 NA1A
ELAINE BANTA PHD PA STE B106
JUPITER, FL, 33477
Browse FL providers · Browse ZIP 33477
Phone
5614270144
Fax
5617470258
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Organizations in JUPITER, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.