Provider Demographics
NPI:1760761860
Name:KNORR, ANDREW (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:KNORR
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LYNDALE RD
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2418
Mailing Address - Country:US
Mailing Address - Phone:508-944-8534
Mailing Address - Fax:
Practice Address - Street 1:100 GROVE ST STE 405
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2654
Practice Address - Country:US
Practice Address - Phone:508-944-8534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4132101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health