Doctor Name: | MS. LUCIA JACQUELINE KNAPP |
NPI Number: | 1043584378 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 5301 Broadway West New York, NJ - 070932622 |
Business Phone Number: | 2018669320 |
Business Fax Number: | 2013303825 |
Mailing Address: | 915 Elm Ave, RIDGEFIELD |
State: | NJ |
Postal Code: | 076571145 |
Phone Number: | 2018669320 |
Fax Number: | 2013303825 |
NPI Enumeration Date: | 03/05/2012 |
NPI Last Update Date: | 03/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |