Provider Demographics
NPI:1932382710
Name:KNAFF, DEVORAH LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEVORAH
Middle Name:LYNN
Last Name:KNAFF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4450 4TH ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-2608
Mailing Address - Country:US
Mailing Address - Phone:951-347-3732
Mailing Address - Fax:
Practice Address - Street 1:4450 4TH ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-2608
Practice Address - Country:US
Practice Address - Phone:951-347-3732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor