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Marlissa Banta, PHD
NPI 1174299945 · Clinical Psychologist · Lebanon, PA
Marlissa Banta, PHD is a Clinical Psychologist provider in Lebanon, PA (NPI 1174299945).
Provider details
- NPI number
- 1174299945
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- PS019301 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1700 S Lincoln Ave
Lebanon, PA 17042-7529
Phone: (717) 272-6621
Street-level locationGet directions
Mailing address
814 Franklin St
Wyomissing, PA 19610-3002
Registry dates
- Enumerated
- 2021-08-20
- Last updated
- 2021-08-20
- Certified
- 2021-08-20
Frequently asked questions
- What is Marlissa Banta's NPI number?
- Marlissa Banta's National Provider Identifier (NPI) is 1174299945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marlissa Banta's specialty?
- Marlissa Banta is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Marlissa Banta located?
- Marlissa Banta's practice location on file with NPPES is 1700 S Lincoln Ave, Lebanon, PA 17042-7529.
- What is Marlissa Banta's phone number?
- The practice phone number listed in the NPPES registry for Marlissa Banta is (717) 272-6621.
- Is Marlissa Banta's NPI active?
- Yes — Marlissa Banta's NPI (1174299945) is active in the NPPES registry as of the last update on 2021-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.