Provider Demographics
NPI:1669530366
Name:DRYDEN, KATHERINE MCKNIGHT (PHD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:MCKNIGHT
Last Name:DRYDEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 FRANK STREET
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604
Mailing Address - Country:US
Mailing Address - Phone:919-990-1745
Mailing Address - Fax:
Practice Address - Street 1:3141 JOHN HUMPHRIES WYND STE 275
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-7716
Practice Address - Country:US
Practice Address - Phone:919-990-1745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent