Individual
LINDA ANN WAGNER KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
2001 E 29TH ST, BRYAN, TX 77802-1954
(979) 822-6611
Mailing address
3005 CORTEZ ST, COLLEGE STATION, TX 77845-6549
(979) 229-3362
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30797
TX
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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