Individual
MRS. PAMELA R BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
208 SWEETWATER RIM, PINEVILLE, LA 71360-5691
(318) 419-8176
Mailing address
PO BOX 486, LIVINGSTON, LA 70754-0486
(225) 686-8810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5289
LA
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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