Individual
MS. DONNA ELAINE BANKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4677 VALLEY EAST BLVD, SUITE 2, ARCATA, CA 95521-4630
(707) 822-9122
(707) 822-1969
Mailing address
4677 VALLEY EAST BLVD, SUITE 2, ARCATA, CA 95521-4630
(707) 822-9122
(707) 822-1969
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11880
CA
Other
Enumeration date
08/13/2008
Last updated
10/18/2011
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