Judy Ann Banta, ED.D.
Individual provider Active NPI School Psychologist · Sacaton, AZ
NPI 1295957256 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295957256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 98 South Skill Center Road
Sacaton, AZ 85247 - Phone
- (520) 562-8600
- Fax
- (480) 763-4440
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacaton Schools # 18 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Yes |
Addresses
Primary practice location
98 South Skill Center Road
Sacaton, AZ 85247
Mailing address
601 West Linger Lane
Phoenix, AZ 85021
Phone (520) 562-8600
Other providers in Sacaton, AZ
- Colleen Marie Austin
- Ineke Maryam Ayubi-Moak
- Adelaide P Bahr
- Juliandra Bailon
- Linda J Baldwin
- Randall Beaupre II
- Patricia Beck
- Zachary Glen Bennett
- Vincent Anthony Berkley
- Meena Bhargava
All providers in Sacaton, AZ · School Psychologist in Arizona
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.