Provider Demographics
NPI:1396175162
Name:KNIGHT, THERESA LUCILLE EVANS (MA, MFT)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:LUCILLE EVANS
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 CRANBURY RD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-2616
Mailing Address - Country:US
Mailing Address - Phone:203-722-7101
Mailing Address - Fax:203-849-3230
Practice Address - Street 1:37 CRANBURY RD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-2616
Practice Address - Country:US
Practice Address - Phone:203-722-7101
Practice Address - Fax:203-849-3230
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist