Provider Demographics
NPI:1194292474
Name:KNAACK, ANITA JUDIE (MA)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:JUDIE
Last Name:KNAACK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 E MCMURRAY RD
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2911
Mailing Address - Country:US
Mailing Address - Phone:412-328-6346
Mailing Address - Fax:
Practice Address - Street 1:341 E MCMURRAY RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2911
Practice Address - Country:US
Practice Address - Phone:412-328-6346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional