Phylesha Diane Banaszynski, MASTER ED.
Individual provider Active NPI Psychologist · Doylestown, PA
NPI 1295949352 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295949352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PS005736L (PA)
- Practice address
- 275 S Main St
Suite 10
Doylestown, PA 18901-4815 - Phone
- (215) 345-9195
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS005736L | PA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS005736L | PA | Yes |
Addresses
Primary practice location
275 S Main St
Suite 10
Doylestown, PA 18901-4815
Mailing address
275 S Main St
Suite 10
Doylestown, PA 18901-4815
Phone (215) 345-9195
Other providers in Doylestown, PA
- Lisa Ellen Baitzel
- Balanced Brain NP
- Hildegarde Virginia Balek
- Dana Baltus
- Michael Banach
- Amir Barati
- William Barba
- Stephanie Barbetta
- Barc
- Barc
All providers in Doylestown, PA · Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.