Healthcare Provider Details

I. General information

NPI: 1114860558
Provider Name (Legal Business Name): CATHERINE WOOD PHD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 LEINBACH DR STE D4
CHARLESTON SC
29407-7086
US

IV. Provider business mailing address

6650 RIVERS AVE STE 100
NORTH CHARLESTON SC
29406-4809
US

V. Phone/Fax

Practice location:
  • Phone: 843-212-6801
  • Fax: 877-860-2868
Mailing address:
  • Phone: 843-212-6801
  • Fax: 877-860-2686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CATHERINE MEWBORN WOOD
Title or Position: OWNER / MANAGING MEMBER
Credential: PH.D.
Phone: 843-212-6801