DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUDIE E BACK, PHD

Active

DR. SUDIE E BACK, PHD is a Clinical Psychologist healthcare provider located in CHARLESTON, South Carolina. NPI 1164478723 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · CHARLESTON, SC

Registration Details

NPI Number
1164478723
Provider Type
Individual
Gender
Female
NPI Issued
May 25, 2006 (20.187501189099 yrs)
Last Updated
Oct 29, 2020
License
1024 (SC)

Practice Information

Address
125 DOUGHTY STREET
SUITE 120
CHARLESTON, SC, 29425
Browse SC providers · Browse ZIP 29425
Phone
8437925215
Fax
8437920528
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in CHARLESTON, SC

Name Credential NPI
KARINA MICHELLE STEWART PSYD 1558369751
DR. BONNIE FRALIX CLEAVELAND PHD DBPP 1164411948
CINDY L RICH PHD 1841252137
DR. ELLEN WILFONG-GRUSH PH.D. 1598716581
KENDRA WERDEN 1245277151
DR. KIMBERLY ELAINE BROWN PH.D. 1023057213
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.