Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 011546 | NY |
Y | 103T00000X | Psychologist | 011546 | NY |
NPI | 1013978493 |
---|---|
Provider Name | Sheila A Knights |
First Address | Poughkeepsie, NY 12603-3631 |
Second Address | Poughkeepsie, NY 12603-3631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 08/07/2007 |