Provider Demographics
NPI:1730067372
Name:WETRICH, BETHANY (PHD)
Entity type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:
Last Name:WETRICH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:
Other - Last Name:BIERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2610 SMART AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64124-1809
Mailing Address - Country:US
Mailing Address - Phone:314-603-8009
Mailing Address - Fax:
Practice Address - Street 1:1000 E 24TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2776
Practice Address - Country:US
Practice Address - Phone:816-512-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025036076103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical