Individual
DR. JOSEPH ALLEN BANKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3300 NW 56TH ST, OKLAHOMA CITY, OK 73112-4538
(405) 724-8921
Mailing address
PO BOX 31434, EDMOND, OK 73003-0024
(501) 352-5544
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1336
OK
103TC0700X
Clinical Psychologist
99-5P
AR
103TC1900X
Counseling Psychologist
Primary
99-5P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138612719
—
AR
Enumeration date
10/13/2006
Last updated
03/07/2023
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