Individual
TIWATOPE BANKALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
534 E PLEASANT RUN RD, DESOTO, TX 75115-4002
(469) 488-5000
(469) 990-5333
Mailing address
534 E PLEASANT RUN RD, DESOTO, TX 75115-4002
(469) 488-5000
(469) 990-5333
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
40725
TX
103TH0004X
Health Psychologist
40725
TX
Other
Enumeration date
09/18/2025
Last updated
09/19/2025
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