Provider Demographics
NPI:1518052968
Name:KNAPP, CINDY M (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:M
Last Name:KNAPP
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 2167
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97339-2167
Mailing Address - Country:US
Mailing Address - Phone:541-752-7844
Mailing Address - Fax:
Practice Address - Street 1:3140 S.W. CHINTIMINI AVENUE
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333-1532
Practice Address - Country:US
Practice Address - Phone:541-752-7844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0047106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist