Healthcare Provider Details

I. General information

NPI: 1962993485
Provider Name (Legal Business Name): ERIN KNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2018
Last Update Date: 05/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7053 MESSER RD
RICHMOND VA
23231-5500
US

IV. Provider business mailing address

7053 MESSER RD
RICHMOND VA
23231-5500
US

V. Phone/Fax

Practice location:
  • Phone: 804-226-8700
  • Fax: 804-226-8706
Mailing address:
  • Phone: 804-343-6500
  • Fax: 804-226-8706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberPPS-0606023
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: