Ethel W Hetrick PHD Pllc
NPI #1215342514 in Bay St Louis, Mississippi
Provider Information
- NPI Number
- 1215342514
- Entity Type
- Organization
- Organization Name
- Ethel W Hetrick PHD Pllc
- Primary Specialty
- Psychologist
- Enumeration Date
- Jun 25, 2014
- Last Updated
- Jun 25, 2014
Practice Location
- Address
- 412 HIGHWAY 90
- Address 2
- SUITE 10
- City
- Bay St Louis
- State
- Mississippi
- ZIP Code
- 39520-3534
- Phone
- (228) 467-2424
Authorized Official
- Name
- DR. ETHEL W HETRICK, PHD
- Title
- PSYCHOLOGIST
- Phone
- (228) 467-2424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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