ETHAN BANNAR, PSYD

PSYD

Clinical Psychologist

NPI: 1467962928Individual

Specialties, Licenses & Credentials

Counselor

Counselor

Code: 101Y00000X

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Clinical PsychologistPrimary

Psychologist — Clinical

Code: 103TC0700X

0810007978(VA)

Contact & Hours

Address: 271 FT. RICHARDSON AVE.
GOODFELLOW AFB, TX 76908
Phone: (325) 654-3122

Location

Practice Location

271 FT. RICHARDSON AVE., GOODFELLOW AFB, TX

Quick Facts

NPI: 1467962928
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 3
Locations: 1

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