Dr. Wayne C Etheridge, PHD
Psychologist, Counseling in Christiansted, U.S. Virgin Islands
1609923713- Practice location
- 5030 Anchor Way, Christiansted, VI 00820-4692
- Phone
- 340-773-7772
- Fax
- —
- Last updated
- January 14, 2020
Wayne Carlton Etheridge is a Psychologist, Counseling based in Christiansted, VI. Wayne Carlton Etheridge practices in Christiansted, VI and has the professional credentials of PHD. The NPI Number for Wayne Carlton Etheridge is 1609923713 and holds a License No. 04-019-PSY (VI). The current practice location address for Wayne Carlton Etheridge is 5030 Anchor Way, Christiansted, VI 00820-4692 and can be reached out via phone at 340-773-7772.
Provider Profile Details
- NPI Number
- 1609923713
- Provider Name
- Wayne Carlton Etheridge
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5030 Anchor Way, Christiansted, VI 00820-4692
- Phone Number
- 340-773-7772
- Primary Taxonomy
- Psychologist, Counseling · 103TC1900X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 4, 2007
- Last Update Date
- January 14, 2020
- Certification Date
- January 14, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5030 Anchor Way
Christiansted, VI 00820-4692 - City
- Christiansted
- State
- U.S. Virgin Islands
- Zip
- 00820-4692
- Phone Number
- 340-773-7772
Provider Business Mailing Address Details
- Address
- Po Box 26461
St Croix, VI 00824-2461 - City
- St Croix
- State
- VI
- Zip
- 00824-2461
- Phone Number
- 340-719-7007
License Information
- License Number
- 04-019-PSY
- License State
- VI
- Taxonomy
- Psychologist, Counseling · 103TC1900X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Wayne C Etheridge, PHD?
The NPI number of Dr. Wayne C Etheridge, PHD is 1609923713. It was assigned on January 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Wayne C Etheridge, PHD?
Dr. Wayne C Etheridge, PHD is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in VI under license number 04-019-PSY.
Where does Dr. Wayne C Etheridge, PHD practice?
The practice location is 5030 Anchor Way, Christiansted, VI 00820-4692. The office can be reached at 340-773-7772 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609923713 directly on the NPPES registry website.