Individual
DR. REGINALD BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4232 PARKSIDE AVE, PHILADELPHIA, PA 19104-1021
(267) 679-2215
Mailing address
4232 PARKSIDE AVE, PHILADELPHIA, PA 19104-1021
(267) 679-2215
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
015203
PA
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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