Individual
MRS. CRYSTAL BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. TLLP
Contact information
Practice address
28303 JOY RD, WESTLAND, MI 48185-5524
(734) 513-1122
Mailing address
28303 JOY RD, WESTLAND, MI 48185-5524
(734) 513-1122
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016295
MI
Other
Enumeration date
06/12/2015
Last updated
08/12/2015
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