Tiwatope Bankale, PhD
Psychologist, Clinical Child & Adolescent in Desoto, TX. Individual provider (NPI-1).
NPI number1619849817
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1619849817
- Entity type
- Individual (NPI-1)
- Name
- Tiwatope Bankale
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2025
- Certification date
- Sep 19, 2025
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 40725 | TX | Yes |
| 103TH0004X | Psychologist, Health | 40725 | TX |
Practice location
534 E Pleasant Run RdDesoto, TX 75115-4002
Phone 469-488-5000 · Fax 469-990-5333
Mailing address
534 E Pleasant Run RdDesoto, TX 75115-4002
Phone 469-488-5000 · Fax 469-990-5333
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