Healthcare Provider Details

I. General information

NPI: 1467379990
Provider Name (Legal Business Name): DONICE M BANKS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 W MINNESOTA PARK RD STE 7
HAMMOND LA
70403-6130
US

IV. Provider business mailing address

3710 BAUVAIS ST
METAIRIE LA
70001-5041
US

V. Phone/Fax

Practice location:
  • Phone: 225-221-9317
  • Fax:
Mailing address:
  • Phone: 504-220-8367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1703
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number1703
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: