Provider Demographics
NPI:1164857447
Name:KNIGHT, DEVANEY
Entity Type:Individual
Prefix:
First Name:DEVANEY
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8530 FM 1960 RD E STE 110
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-1831
Mailing Address - Country:US
Mailing Address - Phone:832-262-4748
Mailing Address - Fax:346-323-7212
Practice Address - Street 1:8530 FM 1960 RD E STE 110
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-1831
Practice Address - Country:US
Practice Address - Phone:832-262-4748
Practice Address - Fax:346-323-7212
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT99029106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist