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General NPI Number Information
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NPI Number | 1114860558
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Entity Type | Organization
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Legal Business Name | CATHERINE WOOD PHD LLC
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 29 LEINBACH DR STE D4
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City | CHARLESTON
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State | SC
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Zip | 29407-7086
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Country | US
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Telephone | 843-212-6801
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Fax | 877-860-2868
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Provider Business Mailing Address
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Address Line | 6650 RIVERS AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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Country | US
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Telephone | 843-212-6801
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Fax | 877-860-2868
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Authorized Official
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Title or Position | OWNER / MEMBER
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Name | DR. CATHERINE MEWBORN WOOD
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Credential | PH.D.
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Telephone | 843-212-6801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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