Healthcare Provider Details

I. General information

NPI: 1609721190
Provider Name (Legal Business Name): MORGAN KNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 BANCROFT WAY
BERKELEY CA
94710-2345
US

IV. Provider business mailing address

1029 BANCROFT WAY
BERKELEY CA
94710-2345
US

V. Phone/Fax

Practice location:
  • Phone: 571-309-4560
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number34326
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: