Etheridge, Mary Anne
Etheridge, Mary Anne is an individual health care provider with primary practice located at 115 Kildaire Park Dr Ste 313 , Cary NC 27518-8144. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Etheridge, Mary Anne can be contacted via phone (919) 600-4906.Contact Information
Primary practice address
115 Kildaire Park Dr Ste 313
Cary NC 27518-8144
Phone: (919) 600-4906
Fax: (888) 887-6361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3686 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3686 | North Carolina |
Profile Details
| NPI number | 1437294212 |
|---|---|
| LBN Legal business name | Etheridge, Mary Anne |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jun 24th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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