Individual
MRS. CLUVERIUS BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
36 LOCKSLEY DR, HAMPTON, VA 23666-5006
(757) 869-7559
(757) 827-0442
Mailing address
36 LOCKSLEY DR, HAMPTON, VA 23666-5006
(757) 869-7559
(757) 827-0442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002934
VA
Other
Enumeration date
05/14/2011
Last updated
05/14/2011
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