Provider Demographics
NPI:1942334461
Name:KNAPP, COURTNEY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:
Last Name:KNAPP
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17880 SKY PARK CIR STE 270
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6442
Mailing Address - Country:US
Mailing Address - Phone:949-529-1191
Mailing Address - Fax:
Practice Address - Street 1:17880 SKY PARK CIR STE 270
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6442
Practice Address - Country:US
Practice Address - Phone:949-529-1191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25271103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical