Provider Demographics
NPI:1447672795
Name:KNIGHT, JOCELYN (MACCC-SLP)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MACCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 CONGRESS DR
Mailing Address - Street 2:
Mailing Address - City:AMSTON
Mailing Address - State:CT
Mailing Address - Zip Code:06231-1505
Mailing Address - Country:US
Mailing Address - Phone:860-531-8073
Mailing Address - Fax:
Practice Address - Street 1:127 CONGRESS DR
Practice Address - Street 2:
Practice Address - City:AMSTON
Practice Address - State:CT
Practice Address - Zip Code:06231-1505
Practice Address - Country:US
Practice Address - Phone:860-531-8073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004309235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist