Individual
CAROLYN G BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
299 W HILLCREST DR, SUITE 110, THOUSAND OAKS, CA 91360-4264
(805) 293-4222
(805) 583-8064
Mailing address
299 W HILLCREST DR, SUITE 110, THOUSAND OAKS, CA 91360-4264
(805) 293-4222
(805) 583-8064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5424
CA
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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