Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN SCOTT BANNAR, PSYD
ActiveDR. ETHAN SCOTT BANNAR, PSYD is a Clinical Psychologist healthcare provider located in GOODFELLOW AFB, Texas. NPI 1467962928 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · GOODFELLOW AFB, TX
Registration Details
- NPI Number
- 1467962928
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2017 (8.6611067495992 yrs)
- Last Updated
- Jul 13, 2023
- License
-
0810007978 (VA)
Practice Information
- Address
-
271 FT RICHARDSON AVEGOODFELLOW AFB, TX, 76908Browse TX providers · Browse ZIP 76908
- Phone
- 3256543122
- Fax
- 3256545161
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in GOODFELLOW AFB, TX
| Name | Credential | NPI |
|---|---|---|
| DR. EMILY MAYFIELD | PH.D. | 1154555324 |
| MELANIE NOBLE | PH.D. | 1558860403 |
| AMANDA MICHELE DURBIN | MA | 1902479181 |
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.