Ethan Villeneuve, PHDINTERNSHIP
Ethan Villeneuve, PHDINTERNSHIP is a Psychologist in Scottsbluff, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
2622 Avenue CScottsbluff, NE 69361-1680
Phone: (308) 632-8547
Fax: (308) 632-0135
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Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X |
|---|
Record details
| NPI number | 1720576713 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHDINTERNSHIP |
| Sole proprietor | Yes |
| NPI enumerated | April 25, 2018 |
| Last updated in NPPES | April 25, 2018 |
| Mailing address | 2622 Avenue C, Scottsbluff, NE 69361-1680 |
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Ambar Ximena Zapata-Zamora
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