Provider Demographics
NPI:1215495445
Name:KNIGHT, KATELYN (SLP)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:
Other - Last Name:TAGEANT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:520 HEYWARD GREEN DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-1026
Mailing Address - Country:US
Mailing Address - Phone:985-516-5394
Mailing Address - Fax:
Practice Address - Street 1:21 WARNICK ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-6211
Practice Address - Country:US
Practice Address - Phone:410-887-0726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-06
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11712235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist