Provider Demographics
NPI:1083624142
Name:KNAPP, SHIRLEY J (LPC)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:J
Last Name:KNAPP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4226
Mailing Address - Country:US
Mailing Address - Phone:814-944-6352
Mailing Address - Fax:
Practice Address - Street 1:1301 ALLEGHENY ST STE 125A
Practice Address - Street 2:
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-2455
Practice Address - Country:US
Practice Address - Phone:814-330-4719
Practice Address - Fax:814-944-0919
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002837101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1083624142OtherLPC/PRIVATE PRACTICE