Provider Demographics
NPI:1245552397
Name:KNIGHT, LAURA ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANNE
Last Name:KNIGHT
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 1:1020 OAKLAND AVE
Mailing Address - Street 2:205 UHLER HALL
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15705-1064
Mailing Address - Country:US
Mailing Address - Phone:724-357-2634
Mailing Address - Fax:
Practice Address - Street 1:1020 OAKLAND AVE
Practice Address - Street 2:205 UHLER HALL
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15705-1064
Practice Address - Country:US
Practice Address - Phone:724-357-2634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016640103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent