Individual
DR. GAWAINE J BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2827 RADCLIFF AVE NW, MASSILLON, OH 44646-2681
(660) 254-0259
Mailing address
2827 RADCLIFF AVE NW, MASSILLON, OH 44646-2681
(660) 254-0259
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
7102
OH
103T00000X
Psychologist
Primary
7102
OH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
7102
OH
103TA0700X
Adult Development & Aging Psychologist
7102
OH
103TB0200X
Cognitive & Behavioral Psychologist
7102
OH
103TF0000X
Family Psychologist
7102
OH
103TP2701X
Group Psychotherapy Psychologist
7102
OH
103TR0400X
Rehabilitation Psychologist
7102
OH
Other
Enumeration date
05/08/2007
Last updated
01/28/2014
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