Provider Demographics
NPI:1881003481
Name:MCKNIGHT, CATHERINE PAIGE
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:PAIGE
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 DAWSON ROAD
Mailing Address - Street 2:
Mailing Address - City:FORREST CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72335
Mailing Address - Country:US
Mailing Address - Phone:870-633-1796
Mailing Address - Fax:870-261-1818
Practice Address - Street 1:149 WATER ST
Practice Address - Street 2:LINCOLN MIDDLE SCHOOL
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335
Practice Address - Country:US
Practice Address - Phone:870-633-0310
Practice Address - Fax:870-261-1838
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist