IndividualActive
Wayne Etheridge, PH.D.
NPI 1609923713 · Counseling Psychologist · Christiansted, VI
Provider details
- NPI number
- 1609923713
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 04-019-PSY (VI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Mailing address
Po Box 26461
St Croix, VI 00824-2461
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2020-01-14
- Certified
- 2020-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.