Individual
ELIZABETH ASHLEY BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 LANDSTOWN CENTRE WAY, VIRGINIA BEACH, VA 23456-1624
(757) 668-4373
Mailing address
1924 LANDSTOWN CENTRE WAY, VIRGINIA BEACH, VA 23456-1624
(757) 668-4673
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
07155
MD
103T00000X
Psychologist
0810008363
VA
103TC0700X
Clinical Psychologist
Primary
0810008363
VA
Other
Enumeration date
06/01/2022
Last updated
09/30/2024
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