Etheridge, Mary Anne

Etheridge, Mary Anne is an individual health care provider with primary practice located at 115 Kildaire Park Dr Ste 313 , Cary NC 27518-8144. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Etheridge, Mary Anne can be contacted via phone (919) 600-4906.

Contact Information

Primary practice address
115 Kildaire Park Dr Ste 313 Cary NC 27518-8144
Phone: (919) 600-4906
Fax: (888) 887-6361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3686 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3686 North Carolina

Profile Details

NPI number 1437294212
LBN Legal business name Etheridge, Mary Anne
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Jun 24th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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