Provider Demographics
NPI:1285682336
Name:KNAPP, SAMUEL JOEL (EDD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:JOEL
Last Name:KNAPP
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17538-1042
Mailing Address - Country:US
Mailing Address - Phone:717-898-3778
Mailing Address - Fax:
Practice Address - Street 1:76 COUNTRY LN
Practice Address - Street 2:
Practice Address - City:LANDISVILLE
Practice Address - State:PA
Practice Address - Zip Code:17538-1042
Practice Address - Country:US
Practice Address - Phone:717-898-3778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003797103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling