Provider Demographics
NPI:1235297425
Name:KNAPP, AMY L (PSYD, NCSP)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:KNAPP
Suffix:
Gender:F
Credentials:PSYD, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 N 44TH ST STE 415
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-7251
Mailing Address - Country:US
Mailing Address - Phone:602-675-0335
Mailing Address - Fax:602-865-8089
Practice Address - Street 1:2999 N 44TH ST STE 415
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-7251
Practice Address - Country:US
Practice Address - Phone:602-675-0335
Practice Address - Fax:602-865-8089
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4152103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical