Individual
SANDRA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1161 BETHEL RD STE 104-1, COLUMBUS, OH 43220-2773
(614) 586-6573
(877) 978-1246
Mailing address
66 E HUDSON ST, COLUMBUS, OH 43202-2674
(614) 586-6573
(877) 978-1246
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7432
OH
103T00000X
Psychologist
PS016487
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211098
—
OH
Enumeration date
11/03/2008
Last updated
06/07/2024
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