Provider Demographics
NPI:1710206685
Name:KNAPICK, ROBERT ALBERT (LMFT)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALBERT
Last Name:KNAPICK
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 N SAN JACINTO ST
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-2522
Mailing Address - Country:US
Mailing Address - Phone:936-529-0374
Mailing Address - Fax:936-494-3549
Practice Address - Street 1:6265 HIGHWAY 105 W
Practice Address - Street 2:SUITE 103
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-4779
Practice Address - Country:US
Practice Address - Phone:936-597-9356
Practice Address - Fax:936-570-0357
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4532106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144558702Medicaid