Elizabeth Ashley Banks
Psychologist, Clinical in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1801535596
StatusActive
Last updated in NPPESSep 30, 2024
Details
- NPI
- 1801535596
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Ashley Banks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2022
- Certification date
- Sep 30, 2024
- Last updated
- Sep 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 0810008363 | VA | Yes |
| 103T00000X | Psychologist | 07155 | MD | |
| 103T00000X | Psychologist | 0810008363 | VA |
Practice location
1924 Landstown Centre WayVirginia Beach, VA 23456-1624
Phone 757-668-4373
Mailing address
1924 Landstown Centre WayVirginia Beach, VA 23456-1624
Phone 757-668-4673
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