Individual
GREG BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1440 BROADWAY, OAKLAND, CA 94612
(510) 628-9065
Mailing address
3708 GRAND AVE, OAKLAND, CA 94610
(831) 359-9097
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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