Provider Demographics
NPI:1043361157
Name:KNIGHT, JANICE KNAPP (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:KNAPP
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 CHAPMAN RD
Mailing Address - Street 2:
Mailing Address - City:MILLBROOK
Mailing Address - State:AL
Mailing Address - Zip Code:36054-2513
Mailing Address - Country:US
Mailing Address - Phone:334-546-9054
Mailing Address - Fax:334-285-8543
Practice Address - Street 1:4410 CHAPMAN RD
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-2513
Practice Address - Country:US
Practice Address - Phone:334-546-9054
Practice Address - Fax:334-285-8543
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL79235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51506323KNIOtherBLUE CROSS BLUE SHIELD