Provider Demographics
NPI:1750868709
Name:KNIGHTON, CYNTHIA ELIZABETH (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ELIZABETH
Last Name:KNIGHTON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:ELIZABETH
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8227 44TH AVE W STE E
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-2848
Mailing Address - Country:US
Mailing Address - Phone:269-832-2993
Mailing Address - Fax:
Practice Address - Street 1:2050 CARR 8177 APT 705
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3757
Practice Address - Country:US
Practice Address - Phone:269-832-2993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI14089771235Z00000X
WA14089771235Z00000X
MI7101005346235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
$$$$$$$$$OtherMERCER