Individual
KATHRYN MAYER ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS, NCSP, LPES
Contact information
Practice address
75 CAHOUN STREET, CHARLESTON, SC 29401
(843) 852-6524
Mailing address
75 CAHOUN STREET, CHARLESTON, SC 29401
(843) 852-6524
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4554
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588615918
—
SC
Enumeration date
05/24/2013
Last updated
05/24/2013
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