SearchMississippi103T00000X

Ethel Hetrick, PH.D

NPI 1699968453 · on the registry since 2007 · sole proprietor

Practice

Address
412 Highway 90
Suite 10
Bay Saint Louis, MS 39520
Phone
(228) 467-2424
Fax
(228) 467-5757

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103G00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi