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Individual

DR. BOB GENE KNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
260 MAPLE CT STE 130, VENTURA, CA 93003-9121
(805) 889-6681
Mailing address
260 MAPLE CT STE 130, VENTURA, CA 93003-9121
(805) 889-6681

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
103TC0700X
Clinical Psychologist
Primary
PSY 6707
CA

Other

Enumeration date
05/06/2009
Last updated
05/06/2009
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