Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 00089-1 | NY |
N | 101YP2500X | Professional Counselor | PC002474 | PA |
NPI | 1003835406 |
---|---|
Provider Name | Susan Moira Knechtel |
First Address | Monroeville, PA 15146-1001 |
Second Address | Monroeville, PA 15146-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 08/07/2007 |