Individual
DR. HEIDI MARIE KNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, HSPP
Contact information
Practice address
308 MEDIC WAY, GREENCASTLE, IN 46135-2296
(765) 653-2669
(765) 653-8671
Mailing address
901 HELM DR, AVON, IN 46123-9632
(317) 271-5389
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041579A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204129
ANTHEM BCBS PROVIDER PIN
IN
Enumeration date
07/07/2006
Last updated
07/23/2007
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