| Doctor Name: | EARL BANNING |
| NPI Number: | 1104910348 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | 1660 |
| Business Practice Address: | 2200 Bergquist Dr Suite 1 Lackland A F B, TX - 782369907 |
| Business Phone Number: | 3038422168 |
| Business Fax Number: | 3038422168 |
| Mailing Address: | 2200 Bergquist Dr, Suite 1 LACKLAND A F B |
| State: | TX |
| Postal Code: | 782369907 |
| Phone Number: | 3038422168 |
| Fax Number: | 3038422168 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 06/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1660 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |