DR. Ethan Scott Bannar, PSYD
NPI #1467962928 in Goodfellow Afb, Texas
Provider Information
- NPI Number
- 1467962928
- Entity Type
- Individual
- Name
- DR. Ethan Scott Bannar, PSYD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSYD
- Enumeration Date
- Oct 10, 2017
- Last Updated
- Jul 13, 2023
Practice Location
- Address
- 271 FT RICHARDSON AVE
- City
- Goodfellow Afb
- State
- Texas
- ZIP Code
- 76908
- Phone
- (325) 654-3122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Student in an Organized Health Care Education/Training Program |
| Psychologist - Clinical — Clinical |
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