Healthcare Provider Details

I. General information

NPI: 1205922101
Provider Name (Legal Business Name): EVAN ALLAN KNAPP PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 GASTON AVE STE 815
DALLAS TX
75246-2034
US

IV. Provider business mailing address

3417 GASTON AVE STE 815
DALLAS TX
75246-2034
US

V. Phone/Fax

Practice location:
  • Phone: 214-824-8878
  • Fax: 214-591-5949
Mailing address:
  • Phone: 214-824-8878
  • Fax: 214-291-5949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number24172
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number24172
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number24172
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number24172
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: