Individual
DEBRA W BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
4100 S MEDFORD DR STE 208, LUFKIN, TX 75901
(936) 639-3007
(936) 639-3012
Mailing address
3416 E DENMAN AVE STE 11, LUFKIN, TX 75901-6760
(936) 639-3007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12719
TX
Other
Enumeration date
02/02/2008
Last updated
07/23/2018
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