Provider Demographics
NPI:1003892159
Name:KNIGHT, SYLVIA F (PHD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:F
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 1:520 KINGS RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-3118
Mailing Address - Country:US
Mailing Address - Phone:706-546-0257
Mailing Address - Fax:706-548-5609
Practice Address - Street 1:520 KINGS RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-3118
Practice Address - Country:US
Practice Address - Phone:706-546-0257
Practice Address - Fax:706-548-5609
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000909103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA581283316OtherTAX ID NUMBER FOR THE PC
GA581283316OtherTAX ID NUMBER FOR THE PC