Dr WAYNE C ETHERIDGE is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2004.
LINDSY WAGNER LLC
5030 ANCHOR WAY
7 ISLAND THERAPY SOLUTIONS
CHRISTIANSTED
VI
008204692
Tel: 3407197007
| Npi | 1609923713 |
| Pac Id | 9032468665 |
| Professional Enrollment Id | I20180815001778 |
| Last Name | ETHERIDGE |
| First Name | WAYNE |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
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| Organization Legal Name | LINDSY WAGNER LLC |
| Group Practice Pac Id | 3476800574 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 5030 ANCHOR WAY |
| Line 2 Street Address | 7 ISLAND THERAPY SOLUTIONS |
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| City | CHRISTIANSTED |
| State | VI |
| Zip Code | 008204692 |
| Phone Number | 3407197007 |
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| Professional Accepts Medicare Assignment | Y |
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