Provider Demographics
NPI:1346948544
Name:KNOWLES, CHRISTOPHER R
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:R
Last Name:KNOWLES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01220-1936
Mailing Address - Country:US
Mailing Address - Phone:207-478-4662
Mailing Address - Fax:
Practice Address - Street 1:16 SMITH ST
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01220-1936
Practice Address - Country:US
Practice Address - Phone:207-478-4662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst