Doctor Name: | DR. JOSETTE VICTORIA BANKS |
NPI Number: | 1003164435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 015591 |
Business Practice Address: | 369 Ashford Ave Dobbs Ferry, NY - 105222626 |
Business Phone Number: | 9173093305 |
Business Fax Number: | |
Mailing Address: | 382 Roberts Ave, YONKERS |
State: | NY |
Postal Code: | 107031731 |
Phone Number: | 9173093305 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2012 |
NPI Last Update Date: | 08/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 015591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |