Provider Demographics
NPI:1659821049
Name:KNIGHT, CYNTHIA KAYE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:KAYE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2622 S HAVANA ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-5604
Mailing Address - Country:US
Mailing Address - Phone:509-993-0933
Mailing Address - Fax:509-354-2828
Practice Address - Street 1:1300 E 9TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-2409
Practice Address - Country:US
Practice Address - Phone:509-354-2789
Practice Address - Fax:509-354-2828
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL 60677090235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7441017Medicaid