Doctor Name: | MARK KNOPSNYDER |
NPI Number: | 1154553220 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | PC000325 |
Business Practice Address: | 238 Moon Clinton Rd Ste B Moon Township, PA - 151083084 |
Business Phone Number: | 4122033723 |
Business Fax Number: | |
Mailing Address: | Po Box 246, BERLIN |
State: | PA |
Postal Code: | 155300246 |
Phone Number: | 8142676236 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2009 |
NPI Last Update Date: | 08/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC000325 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |