Provider Demographics
NPI:1417380098
Name:KNAPP, AMY (MA, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:KNAPP
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5070 LAUREL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-1812
Mailing Address - Country:US
Mailing Address - Phone:704-453-9139
Mailing Address - Fax:
Practice Address - Street 1:3985 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-9448
Practice Address - Country:US
Practice Address - Phone:404-966-9496
Practice Address - Fax:678-807-5437
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8132235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist