Provider Demographics
NPI:1447289863
Name:KNIGHT, MEREDITH LUCY (PSYD)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:LUCY
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4620 IVYGATE CIR SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-1329
Mailing Address - Country:US
Mailing Address - Phone:404-317-3668
Mailing Address - Fax:
Practice Address - Street 1:4620 IVYGATE CIR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-1329
Practice Address - Country:US
Practice Address - Phone:404-317-3668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002398103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA961143OtherBLUE CROSS BLUE SHIELD
GA961143OtherBLUE CROSS BLUE SHIELD