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KATHRYN KNIELE PH.D.

Clinical Neuropsychologist

Charleston, South Carolina

Provider NPI: 1356369664

Provider Information:
 KATHRYN  KNIELE PH.D.
Gender: F
Sole Proprietor


Practice Location:
1744 SAM RITTENBERG BLVD SUITE A3 CHARLESTON, SC 29407 US
Tel: 843-278-7716  Fax: 843-278-7716

Business Mailing Address:
1744 SAM RITTENBERG BLVD SUITE A3 CHARLESTON, SC 29407 US
Tel: 843-278-7716  Fax: 843-278-7716

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
SC1026
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
SC1026

Other Provider Identifiers:

IssuerNumberStateType
PS0426SC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS SC - Page 1



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