Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary Anne Etheridge, PHD

Individual provider Psychologist · NPI 1437294212

Dr. Mary Anne Etheridge, PHD is a Clinical Psychologist in Cary, North Carolina. Qualified in 2005, 21 years ago. Practices with Etheridge Psychology PA, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
21
Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

115 Kildaire Park Dr Ste 313
Cary, NC 27518-8144
Phone: (919) 600-4906
Fax: (888) 887-6361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3686 (NC)
Psychologist Taxonomy 103T00000X · Licence 3686 (NC)

Record details

NPI number1437294212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Etheridge Psychology Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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