Organization
ETHERIDGE PSYCHOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANNE ETHERIDGE PHD (PRESIDENT)
(919) 600-4906
Entity
Organization
Contact information
Practice address
115 KILDAIRE PARK DR STE 313, CARY, NC 27518-8144
(919) 600-4906
(888) 887-6361
Mailing address
115 KILDAIRE PARK DR STE 313, CARY, NC 27518-8144
(919) 600-4906
(888) 887-6361
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3686
NC
103T00000X
Psychologist
—
—
Other
Enumeration date
06/29/2011
Last updated
01/24/2020
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