Individual
JAMES H BANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
P O BOX 55310, BIRMINGHAM, AL 35255
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1188
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009929555
—
AL
01
—
051517360
BCBS OF AL
AL
01
—
051517361
BCBS OF AL
AL
05
—
051553994
—
AL
01
—
P00049410
RR MEDICARE
AL
Enumeration date
08/14/2006
Last updated
09/20/2011
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