Dr Wayne Carlton Etheridge, PHD | |
5030 Anchor Way, Christiansted, VI 00820-4692 | |
(340) 773-7772 | |
Not Available |
Full Name | Dr Wayne Carlton Etheridge |
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Gender | Male |
Speciality | Psychologist - Counseling |
Location | 5030 Anchor Way, Christiansted, Virgin Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609923713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 04-019-PSY (Virgin Island) | Primary |
Entity Name | Lindsy Wagner Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235402611 PECOS PAC ID: 3476800574 Enrollment ID: O20180720000426 |
Mailing Address | Practice Location Address |
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Dr Wayne Carlton Etheridge, PHD Po Box 26461, St Croix, VI 00824-2461 Ph: (340) 719-7007 | Dr Wayne Carlton Etheridge, PHD 5030 Anchor Way, Christiansted, VI 00820-4692 Ph: (340) 773-7772 |
Lindsy Kae Yarger-wagner, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5030 Anchor Way Ste 9, Christiansted, VI 00820 Phone: 340-719-7007 Fax: 340-719-6655 | |
Dr. Sophia Joseph Parrilla, PHD, CLINICAL PSYCH Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5030 Anchor Way Ste 7, Christiansted, VI 00820 Phone: 340-719-7007 Fax: 340-719-6655 | |
Dr. Gloria Isabel Mendez, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7 Church St, Christiansted, VI 00820 Phone: 340-773-3322 Fax: 340-773-2566 | |
Ms. Maria Del Carmen Garrido, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Lutheran Parish Hall (second Floor), 51 King Street, Christiansted, VI 00820 Phone: 340-626-7972 Fax: 340-778-3573 | |
Dr. Chester D. Copemann, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: #34 Aldersville, Christiansted, VI 00820 Phone: 340-773-5113 Fax: 340-773-5163 | |
G Rita Dudley Grant, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5030 Anchor Way Ste 9&10, Christiansted, VI 00820 Phone: 340-719-7007 | |
Dr. Vanessa Battiste, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 227 Golden Rock Office 1, Christiansted, VI 00820 Phone: 340-474-0057 |