Provider Demographics
NPI:1275624629
Name:KNAPP, DAVID G (MDIV)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:G
Last Name:KNAPP
Suffix:
Gender:M
Credentials:MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 GREEN MEADOW DR.
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-8903
Mailing Address - Country:US
Mailing Address - Phone:810-694-4708
Mailing Address - Fax:
Practice Address - Street 1:901 CHIPPEWA ST.
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503
Practice Address - Country:US
Practice Address - Phone:810-232-9950
Practice Address - Fax:810-232-9110
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor