Healthcare Provider Details

I. General information

NPI: 1396067294
Provider Name (Legal Business Name): HEATHER ALLYSON KNOX PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2010
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ARDMORE ST STE 703
BLACKSBURG VA
24060-9923
US

IV. Provider business mailing address

100 ARDMORE ST STE 703
BLACKSBURG VA
24060-9923
US

V. Phone/Fax

Practice location:
  • Phone: 540-315-4457
  • Fax:
Mailing address:
  • Phone: 540-315-4457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810005616
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: