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JANET BANNISTER
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1558895946
Individual Registrant: JANET BANNISTER
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
39918 US HIGHWAY 19 N TARPON SPRINGS, FL 34689-8337 US
Tel: 813-748-2239 Fax: --
Tel: 813-748-2239 Fax: --
Contact information for business:
8112 PEA TREE CT TRINITY, FL 34655-5180 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1558895946
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | FL | MT2880 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
