Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WAYNE CARLTON ETHERIDGE, PH.D.
Active Sole ProprietorDR. WAYNE CARLTON ETHERIDGE, PH.D. is a Counseling Psychologist healthcare provider located in CHRISTIANSTED, U.S. Virgin Islands. NPI 1609923713 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · CHRISTIANSTED, VI
Registration Details
- NPI Number
- 1609923713
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2007 (19.564312207898 yrs)
- Last Updated
- Jan 14, 2020
- License
-
04-019-PSY (VI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5030 ANCHOR WAYCHRISTIANSTED, VI, 008204692Browse VI providers · Browse ZIP 00820
- Phone
- 3407737772
- Primary Specialty
-
Counseling Psychologist
103TC1900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.