Healthcare Provider Details

I. General information

NPI: 1922722917
Provider Name (Legal Business Name): KNAPP NEUROPSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 N 44TH ST STE 415
PHOENIX AZ
85018-7251
US

IV. Provider business mailing address

2999 N 44TH ST STE 415
PHOENIX AZ
85018-7251
US

V. Phone/Fax

Practice location:
  • Phone: 602-675-0335
  • Fax:
Mailing address:
  • Phone: 602-675-0335
  • Fax: 602-865-8089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: AMY KNAPP
Title or Position: OWNER
Credential:
Phone: 602-675-0335