Provider Demographics
NPI:1699894436
Name:KNAPP, JANICE ADRIENNE (PHD)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:ADRIENNE
Last Name:KNAPP
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 S BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:SAXONBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16056-2251
Mailing Address - Country:US
Mailing Address - Phone:724-360-3318
Mailing Address - Fax:
Practice Address - Street 1:4500 BROOKTREE RD STE 105
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9289
Practice Address - Country:US
Practice Address - Phone:724-991-8475
Practice Address - Fax:724-360-3318
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004447L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist