Provider Demographics
NPI:1043612898
Name:REED-KNIGHT, EVA BONNEY (PHD)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:BONNEY
Last Name:REED-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 1:1405 CLIFTON RD NW
Mailing Address - Street 2:TRANSPLANT SERVICES
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1724
Mailing Address - Country:US
Mailing Address - Phone:404-785-0699
Mailing Address - Fax:
Practice Address - Street 1:1405 CLIFTON RD NW
Practice Address - Street 2:TRANSPLANT SERVICES
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1724
Practice Address - Country:US
Practice Address - Phone:404-785-0699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003799103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical