Dr JODY L BANTZ CP is a female medical professional, specializing in Psychologist, Clinical. She graduated in 2003.
42525 RANCHO MIRAGE LN
RANCHO MIRAGE
CA
922704312
Tel:
| Npi | 1295773232 |
| Pac Id | 4385658954 |
| Professional Enrollment Id | I20060202000754 |
| Last Name | BANTZ |
| First Name | JODY |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | CP |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 42525 RANCHO MIRAGE LN |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 922704312 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | |
| Hospital Affiliation Lbn 1 | |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.