Individual
DR. AMBER MAE BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3509
(336) 716-2261
Mailing address
12430 HIGHWAY 23, BELLE CHASSE, LA 70037-4216
(504) 419-9909
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
03/13/2026
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