Individual
GERALDINE B BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
5900 N PORT WASHINGTON RD, SUITE 230, GLENDALE, WI 53217-4503
(414) 962-4048
(414) 962-4052
Mailing address
5900 N PORT WASHINGTON RD, SUITE 230, GLENDALE, WI 53217-4503
(414) 962-4048
(414) 962-4052
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1543 057
WI
103TC0700X
Clinical Psychologist
Primary
1543-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39112400
—
WI
Enumeration date
07/17/2006
Last updated
02/06/2026
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