Provider Demographics
NPI:1851377097
Name:KNAUSS, LINDA KORN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:KORN
Last Name:KNAUSS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:KORN
Other - Last Name:GORMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:916 CAPITOL RD
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-4002
Mailing Address - Country:US
Mailing Address - Phone:610-608-7204
Mailing Address - Fax:610-584-9148
Practice Address - Street 1:916 CAPITOL RD
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-4002
Practice Address - Country:US
Practice Address - Phone:610-608-7204
Practice Address - Fax:610-584-9148
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004182L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA158824OtherBLUE CROSS/BLUE SHIELD
PA158824OtherBLUE CROSS/BLUE SHIELD