MEDICARE: BETTY ANN KNIGHT MA, LMFT 48858

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	48858	CA

General Provider Information

NPI Number	:	1619987070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETTY ANN KNIGHT MA, LMFT 48858

Provider Business Mailing Address
First Line	:	9412 BIG HORN BLVD STE 6
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-1101
Country	:	US
Telephone Number	:	916-226-2816
Fax Number	:	916-226-2804

Provider Business Practice Location Address
First Line	:	9412 BIG HORN BLVD STE 6
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-1101
Country	:	US
Telephone Number	:	916-226-2816
Fax Number	:	916-226-2804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	03/23/2021

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