Provider Demographics
NPI:1558664060
Name:KNIGHT, PAMELA DENISE (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:DENISE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9291 LAUREL GROVE ROAD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116
Mailing Address - Country:US
Mailing Address - Phone:804-317-5902
Mailing Address - Fax:804-509-0104
Practice Address - Street 1:9291 LAUREL GROVE ROAD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116
Practice Address - Country:US
Practice Address - Phone:804-317-5902
Practice Address - Fax:804-509-0104
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004965101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional