Individual
KATHRYN KNIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1744 SAM RITTENBERG BLVD, SUITE A3, CHARLESTON, SC 29407-4935
(843) 278-7716
(843) 278-7716
Mailing address
1744 SAM RITTENBERG BLVD, SUITE A3, CHARLESTON, SC 29407-4935
(843) 278-7716
(843) 278-7716
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1026
SC
103TC0700X
Clinical Psychologist
Primary
1026
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0426
—
SC
Enumeration date
07/17/2006
Last updated
03/05/2008
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