Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHEL WIEST HETRICK, PH.D.
Active Sole ProprietorDR. ETHEL WIEST HETRICK, PH.D. is a Psychologist healthcare provider located in BAY SAINT LOUIS, Mississippi. NPI 1699968453 is currently active in the NPPES registry. Verify at CMS.
Psychologist · BAY SAINT LOUIS, MS
Registration Details
- NPI Number
- 1699968453
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2007 (18.788687441468 yrs)
- Last Updated
- Jun 24, 2014
- Licenses
-
45 740 (MS)45 740 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
412 HIGHWAY 90SUITE 10BAY SAINT LOUIS, MS, 395203534Browse MS providers · Browse ZIP 39520
- Phone
- 2284672424
- Fax
- 2284675757
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
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.