MEDICARE: DR. LINDA KORN KNAUSS PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PS004182L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	158824	OTHER	PA	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1851377097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA KORN KNAUSS PHD

Provider Business Mailing Address
First Line	:	916 CAPITOL RD
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19403-4002
Country	:	US
Telephone Number	:	610-608-7204
Fax Number	:	610-584-9148

Provider Business Practice Location Address
First Line	:	916 CAPITOL RD
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19403-4002
Country	:	US
Telephone Number	:	610-608-7204
Fax Number	:	610-584-9148

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	12/21/2023

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