Ethel Wiest Hetrick, PH.D.
NPI 1699968453ActiveIndividual· Psychologist· Bay Saint Louis, MS
Psychologist (PH.D.) in Bay Saint Louis, Mississippi, licensed in MS, with an NPI issued in August 2007.
Overview
| NPI | 1699968453 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 23, 2007 |
| Last updated in NPPES | Jun 24, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 45 740 | MS |
| Clinical Neuropsychologist | 103G00000X | 45 740 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|