Individual
DR. KATIE ANNE RIDER MUNDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5711
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0005159
CO
Other
Enumeration date
01/30/2019
Last updated
11/18/2019
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