Provider Demographics
NPI:1932473162
Name:KNUPP, BARBARA JEANNE (MA LPC, CEAP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JEANNE
Last Name:KNUPP
Suffix:
Gender:F
Credentials:MA LPC, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 OLD YORK RD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1577
Mailing Address - Country:US
Mailing Address - Phone:215-688-0987
Mailing Address - Fax:
Practice Address - Street 1:8120 OLD YORK RD
Practice Address - Street 2:SUITE 315
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1577
Practice Address - Country:US
Practice Address - Phone:215-688-0987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005019101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional