Doctor Name: | LAUREN BANKS |
NPI Number: | 1770914137 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 7930 Nittany Valley Dr Mill Hall, PA - 177518805 |
Business Phone Number: | 5707264316 |
Business Fax Number: | 5707264344 |
Mailing Address: | 7930 Nittany Valley Dr, MILL HALL |
State: | PA |
Postal Code: | 177518805 |
Phone Number: | 5707264316 |
Fax Number: | 5707264344 |
NPI Enumeration Date: | 12/10/2013 |
NPI Last Update Date: | 12/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |