Dr. Ethan Scott Bannar, PSYD
Dr. Ethan Scott Bannar, PSYD is a Counselor in Goodfellow AFB, Texas. Licensed in Virginia. Registered with an NPI since 2017.
- Licensed in
- VA
- In the registry since
- 2017
- Specialties on file
- 3
What do these letters mean?
- PSYD — Doctor of Psychology
- A doctoral psychologist trained primarily for clinical practice.
Practice location Address checks out
271 Ft Richardson AveGoodfellow AFB, TX 76908
Phone: (325) 654-3122
Fax: (325) 654-5161
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 0810007978 (VA) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1467962928 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PSYD |
| Sole proprietor | No |
| NPI enumerated | October 10, 2017 |
| Last updated in NPPES | July 13, 2023 |
| Certification date | July 13, 2023 |