ETHEL W HETRICK PHD PLLC
NPI 1215342514
Psychologist in Bay St Louis, MS

Active since June 25, 2014
412 HIGHWAY 90, SUITE 10, BAY ST LOUIS, MS 39520(228) 467-2424(228) 467-5757 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ethel W Hetrick Phd Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHEL W HETRICK PHD PLLC (NPI 1215342514) is a healthcare organization registered as a psychologist in Bay St Louis, Mississippi and active in the NPI registry since June 2014. The organization lists Ethel W Hetrick, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1215342514
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameETHEL W HETRICK PHD PLLC
Location Address412 HIGHWAY 90, SUITE 10Bay St Louis, MS 39520-3534
Mailing Address412 Highway 90, Suite 10Bay St Louis, MS 39520-3534 · (228) 467-2424 · Fax (228) 467-5757
Fax(228) 467-5757
Organization SubpartNo
Authorized OfficialEthel W HetrickPsychologist · (228) 467-2424
Enumeration DateJune 25, 2014
✔ NPI 1215342514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MS · 45 740
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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
412 HIGHWAY 90, Bay St Louis, MS 39520

Other Identifiers 1

Medicaid02628066MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
412 HIGHWAY 90, SUITE 10
BAY SAINT LOUIS, MS 39520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethel W Hetrick Phd PLLC's NPI number?

The NPI number for Ethel W Hetrick Phd PLLC is 1215342514. It was assigned to this organization in the NPPES registry on June 25, 2014.

Where is Ethel W Hetrick Phd PLLC located?

Ethel W Hetrick Phd PLLC is located at 412 Highway 90 Suite 10, Bay St Louis, MS 39520. The listed phone number is (228) 467-2424.

What is Ethel W Hetrick Phd PLLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Ethel W Hetrick Phd PLLC was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.