Healthcare Provider Details

I. General information

NPI: 1760943880
Provider Name (Legal Business Name): CARA KNASTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 E SCHUYLKILL RD STE 101
POTTSTOWN PA
19465-7000
US

IV. Provider business mailing address

5026 PEPPER LN
DOUGLASSVILLE PA
19518-8996
US

V. Phone/Fax

Practice location:
  • Phone: 610-273-8300
  • Fax:
Mailing address:
  • Phone: 610-273-8300
  • Fax: 610-510-2113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CARA KNASTER
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 610-273-8300