Provider Demographics
NPI:1740229350
Name:KNECHT, CHARLES MARK (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:MARK
Last Name:KNECHT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 COLLEGE ST
Mailing Address - Street 2:SUITE D-203
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2802
Mailing Address - Country:US
Mailing Address - Phone:828-350-1433
Mailing Address - Fax:828-350-1434
Practice Address - Street 1:31 COLLEGE ST
Practice Address - Street 2:SUITE D-203
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2802
Practice Address - Country:US
Practice Address - Phone:828-350-1433
Practice Address - Fax:828-350-1434
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1863103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist