Provider Demographics
NPI:1326350893
Name:KNOX, CARRIE ANN (AUD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:ANN
Last Name:KNOX
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-4434
Mailing Address - Country:US
Mailing Address - Phone:757-774-8801
Mailing Address - Fax:757-539-0989
Practice Address - Street 1:108 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-4434
Practice Address - Country:US
Practice Address - Phone:757-774-8801
Practice Address - Fax:757-539-0989
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2015-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001407231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist