DR. MARLISSA CRISTINA BANTA PHD
NPI 1174299945
Psychologist - Clinical in Lebanon, PA

Q: What is Marlissa Banta's NPI number?

The NPI number for Marlissa Banta is 1174299945. It was assigned to this individual provider in the NPPES registry on August 20, 2021. The provider is also known as Dr. Marlissa Cristina Amole Phd.

Q: What is Marlissa Banta's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Marlissa Banta was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 20, 2021

1700 S LINCOLN AVE, LEBANON, PA 17042(717) 272-6621 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Marlissa Cristina Banta Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARLISSA CRISTINA BANTA PHD (NPI 1174299945) is an individual clinical provider in Lebanon, Pennsylvania, licensed in Pennsylvania (PS019301) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1174299945

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARLISSA CRISTINA BANTACredential: PHD

Location Address1700 S LINCOLN AVELebanon, PA 17042-7529

Mailing Address814 Franklin StWyomissing, PA 19610-3002 · (610) 413-8345

Phone(717) 272-6621

Sole ProprietorNo

Enumeration DateAugust 20, 2021

NPPES CertifiedAugust 20, 2021

✔ NPI 1174299945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS019301

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1700 S LINCOLN AVE, Lebanon, PA 17042

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Other Names 1

Former Name (1)Dr. Marlissa Cristina Amole Phd

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDALL CRAIG HAINES

Social Worker (Clinical)

1700 S LINCOLN AVE
LEBANON, PA 17042

Lebanon County (717) 272-6621

MS. DIANE BROWN M.A. CCC-A

Audiologist

1700 S LINCOLN AVE
LEBANON, PA 17042

Lebanon County (717) 272-6621

KAREN A ROGERS PA-C

Physician Assistant

1700 S LINCOLN AVE, LEBANON VAMC
LEBANON, PA 17042

Lebanon County (717) 272-6621

WAYNE LAWRENCE ROFFER PSY.D.

Psychologist (Clinical)

1700 S LINCOLN AVE
LEBANON, PA 17042

Lebanon County (717) 272-6621

REBECCA SANDERS LCSW

Social Worker (Clinical)

1700 S LINCOLN AVE
LEBANON, PA 17042

Lebanon County (717) 272-6621

DR. JASON REESE D.O.

Internal Medicine (Cardiovascular Disease)

1700 S LINCOLN AVE
LEBANON, PA 17042

Lebanon County (717) 272-6621

AIRIKA POLLARD LSW

Social Worker

1700 S LINCOLN AVE
LEBANON, PA 17042

Lebanon County (717) 222-0164

MISS SHAYLA RAE LEE LSW

Social Worker

1700 S LINCOLN AVE
LEBANON, PA 17042

Lebanon County (717) 847-1249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlissa Banta's NPI number?

The NPI number for Marlissa Banta is 1174299945. It was assigned to this individual provider in the NPPES registry on August 20, 2021. The provider is also known as Dr. Marlissa Cristina Amole Phd.

Where is Marlissa Banta located?

Marlissa Banta practices at 1700 S Lincoln Ave, Lebanon, PA 17042. The listed phone number is (717) 272-6621.

What is Marlissa Banta's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Marlissa Banta was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.