Individual
TIA ANITRA MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
929 AZURINE CIR, FORT MILL, SC 29708-9326
(931) 205-7669
Mailing address
929 AZURINE CIR, FORT MILL, SC 29708-9326
(931) 205-7669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2915
TN
235Z00000X
Speech-Language Pathologist
4795
SC
235Z00000X
Speech-Language Pathologist
Primary
7335
NC
Other
Enumeration date
07/08/2011
Last updated
05/01/2025
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