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:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | SC | 1026 |
Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | SC | 1026 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PS0426 | SC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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