Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLENN L BANKS JR., MFCT, LISAC
ActiveMR. GLENN L BANKS JR., MFCT, LISAC is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in PHOENIX, Arizona. NPI 1053580381 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · PHOENIX, AZ
Registration Details
- NPI Number
- 1053580381
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2008 (18.470942544563 yrs)
- Last Updated
- Sep 6, 2022
- Licenses
-
10525 (AZ)LISAC-10525 (AZ)
Practice Information
- Address
-
18444 N 25TH AVE STE 210PHOENIX, AZ, 850231264Browse AZ providers · Browse ZIP 85023
- Phone
- 6669742673
- Fax
- 8669392673
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
Other Addiction (Substance Use Disorder) Psychologist Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| ROBERT HARRIS | — | 1609524768 |
| KING IYOBOSA WILLIAM | — | 1104695683 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.