Individual
DR. ROY L ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
115 KILDAIRE PARK DR STE 313, CARY, NC 27518-8144
(919) 600-4906
(888) 887-6361
Mailing address
1120 SE CARY PKWY STE 201, CARY, NC 27518-7413
(919) 600-4906
(888) 887-6361
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3895
NC
Other
Enumeration date
01/19/2011
Last updated
01/24/2020
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