Individual provider · Type 1 NPI

Ethan Scott Bannar, PSYD

Clinical Psychologist · Goodfellow Afb, TX

NPI number 1467962928 Active

Practice location

271 Ft Richardson Ave
Goodfellow Afb, TX 76908

Call (325) 654-3122 Map

Fax (325) 654-5161

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Psychologist Primary 103TC0700X0810007978 (VA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1467962928

Ethan Scott Bannar, PSYD's National Provider Identifier is 1467962928, issued on Oct 10, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Goodfellow Afb, TX. The record was last updated on Jul 13, 2023.