Organization
KNIGHT PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA G KNIGHT L.C.S.W. (MANAGER CLINICIAN)
(908) 273-9666
Entity
Organization
Contact information
Practice address
35 DEFOREST AVE, SUMMIT, NJ 07901-2155
(908) 273-9666
Mailing address
35 DEFOREST AVE, SUMMIT, NJ 07901-2155
(908) 273-9666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC04674000
LICENSED CLINICAL SOCIAL
NJ
Enumeration date
09/22/2006
Last updated
09/25/2007
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