Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 1617 | AL |
N | 103TC0700X | Clinical Psychologist | 1617 | AL |
Y | 103G00000X | Clinical Psychologist | 1617 | AL |
Y | 103TC0700X | Clinical Psychologist | 1617 | AL |
N | 103TR0400X | Rehabilitation Psychologist | 1617 | AL |
NPI | 1134484306 |
---|---|
Provider Name | Dr. Amy Joy Knight |
First Address | Birmingham, AL 35233-1801 |
Second Address | Birmingham, AL 35233-1801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2012 |
Last Update Date | 12/07/2012 |