NPI 1609923713

Wayne Carlton Etheridge, PHD

Practitioner Counseling Psychologist Christiansted, VI

Practice location

Address: 5030 Anchor Way, Christiansted, VI 00820-4692
Phone: (340) 773-7772
Mailing address: PO Box 26461, St Croix, VI 00824-2461

Registered specialties

Counseling Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC1900X Licence 04-019-PSY (VI)

Other Psychologist providers in U.S. Virgin Islands →

Registry record

NPI: 1609923713
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2007
Record last updated: 14 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.