Provider Demographics
NPI:1558495283
Name:KNIGHT, SONYA M (DO)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:M
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:725 SKIPPACK PIKE
Mailing Address - Street 2:PAREC PLAZA, SUITE 130
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1741
Mailing Address - Country:US
Mailing Address - Phone:215-591-0700
Mailing Address - Fax:267-419-8413
Practice Address - Street 1:725 SKIPPACK PIKE
Practice Address - Street 2:PAREC PLAZA, SUITE 130
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1741
Practice Address - Country:US
Practice Address - Phone:215-591-0700
Practice Address - Fax:267-419-8413
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2015-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS0148562084P0800X, 2084N0600X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102340514-0003Medicaid
PA102340514-0003Medicaid