Ethel Wiest Hetrick in Bay Saint Louis - Psychologist
Ethel Wiest Hetrick - NPI 1699968453
Ethel Wiest Hetrick is a Psychologist in Bay Saint Louis, Mississippi. Ethel Wiest Hetrick practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Ethel Wiest Hetrick is 1699968453. The last update date is 2014-06-24.
Ethel Wiest Hetrick's current location address is 412 Highway 90, Bay Saint Louis, Mississippi. You can contact this provider via phone number 2284672424 and fax number 2284675757. The mailing address for Ethel Wiest Hetrick is 412 Highway 90, Bay Saint Louis, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethel Wiest Hetrick |
|---|---|
| Address | 412 Highway 90, Bay Saint Louis, Mississippi |
| Phone Number | 2284672424 |
| Fax Number | 2284675757 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1699968453 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2014-06-24 |
Provider Mailing Address Detail
| Address | 412 Highway 90 |
|---|---|
| City | Bay Saint Louis |
| State | Mississippi (MS) |
| Post Code | 395203534 |
| Phone Number | 2284672424 |
| Fax Number | 2284675757 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 45 740 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2628066 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ethel Wiest Hetrick by the Centers for Medicare & Medicaid Services?
The Ethel Wiest Hetrick has been assigned the NPI (National Provider Identifier) 1699968453 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Ethel Wiest Hetrick's facilities are geographically located?
The facilities of Ethel Wiest Hetrick are physically situated at the following location: 412 Highway 90, Bay Saint Louis, MS, 395203534.
What is Ethel Wiest Hetrick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ethel Wiest Hetrick's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did Ethel Wiest Hetrick receive its 1699968453 assignment from the Centers for Medicare & Medicaid Services?
The Ethel Wiest Hetrick was assigned its 1699968453 on 2007-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Ethel Wiest Hetrick most recently updated?
The details pertaining to the Ethel Wiest Hetrick, including its address, specialty, and other relevant information, were last refreshed on 2014-06-24.
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