=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538642673
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. DANELLA C. KNIGHT, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2018
-----------------------------------------------------
Last Update Date | 12/20/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 150 W PARK LOOP NW STE 370
-----------------------------------------------------
City | HUNTSVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35806-3042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-836-5063
-----------------------------------------------------
Fax | 256-858-1448
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 150 W PARK LOOP NW STE 2
-----------------------------------------------------
City | HUNTSVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35806-1760
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-836-5063
-----------------------------------------------------
Fax | 256-858-1448
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHOLOGIST
-----------------------------------------------------
Name | DR. DANELLA C. KNIGHT
-----------------------------------------------------
Credential | PSY.D.
-----------------------------------------------------
Telephone | 256-337-3883
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------