Provider Demographics
NPI:1124383187
Name:ROBERTS-KNIGHT, NANCY MARIE (LMFT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:MARIE
Last Name:ROBERTS-KNIGHT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1052
Mailing Address - Street 2:
Mailing Address - City:TRES PINOS
Mailing Address - State:CA
Mailing Address - Zip Code:95075-1052
Mailing Address - Country:US
Mailing Address - Phone:408-309-9821
Mailing Address - Fax:831-630-9156
Practice Address - Street 1:2117 CURTNER AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-1308
Practice Address - Country:US
Practice Address - Phone:408-309-9821
Practice Address - Fax:831-630-9156
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 51175106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist