Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 000909 | GA |
Y | 103T00000X | Psychologist | 000909 | GA |
NPI | 1003892159 |
---|---|
Provider Name | Dr. Sylvia F. Knight |
First Address | Athens, GA 30606-3118 |
Second Address | Athens, GA 30606-3118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 20/11/2015 |