Individual
DR. GABRIELLE GIPSON BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5239
Mailing address
1755 WYNDALE ST APT 442, HOUSTON, TX 77030-4171
(601) 259-3386
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
59-1044
MS
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
59-1044
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2019
Last updated
02/05/2020
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