Provider Demographics
NPI:1760683361
Name:KNOTT, SARAH OWEN (AUD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:OWEN
Last Name:KNOTT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:BETH
Other - Middle Name:OWEN
Other - Last Name:KNOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:1701 WESTCHESTER DR
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7008
Mailing Address - Country:US
Mailing Address - Phone:336-802-2536
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:1132 N CHURCH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1039
Practice Address - Country:US
Practice Address - Phone:336-379-9445
Practice Address - Fax:336-691-1704
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5426231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3404170Medicaid
NCQ39717AMedicare PIN