DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN VILLENEUVE, PH.D INTERNSHIP

Active Sole Proprietor

Psychologist · SCOTTSBLUFF, NE

Registration Details

NPI Number
1720576713
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2018 (8.0304915638523 yrs)
Last Updated
Apr 25, 2018
Sole Proprietor
Yes

Practice Information

Address
2622 AVENUE C
SCOTTSBLUFF, NE, 693611680
Browse NE providers · Browse ZIP 69361
Phone
3086328547
Fax
3086320135
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in SCOTTSBLUFF, NE

Name Credential NPI
DR. PAMELA A RICHARDSON 1447397534
DR. APRIL L DAVIS PSY.D. 1285942888
DR. GAGE STERMENSKY II PSY.D., BCB 1336542323
VIRGINIA ELIZABETH CHILDS MA 1194316497
AMBAR XIMENA ZAPATA-ZAMORA 1427746460
LUKE ERSKINE STEINMAN 1437990371
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.