Provider Demographics
NPI:1326525825
Name:KNAUS, NANCY BETH
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:BETH
Last Name:KNAUS
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 1:113 ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1805
Mailing Address - Country:US
Mailing Address - Phone:413-297-7187
Mailing Address - Fax:413-567-5678
Practice Address - Street 1:113 ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1805
Practice Address - Country:US
Practice Address - Phone:413-297-7187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2490103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist