Basic Information
| Provider Information | |||||||||
| NPI: | 1023457264 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KNOX | ||||||||
| FirstName: | DANA | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | AUD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | PERRY | ||||||||
| OtherFirstName: | DANA | ||||||||
| OtherMiddleName: | L | ||||||||
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| OtherCredential: | AUD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 700 MEDICAL ARTS BLDG | ||||||||
| Address2: | SUITE 710 | ||||||||
| City: | KITTANNING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 162017141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245438670 | ||||||||
| FaxNumber: | 7245438736 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 MEDICAL ARTS BLDG | ||||||||
| Address2: | SUITE 620 | ||||||||
| City: | KITTANNING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 162017134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245456673 | ||||||||
| FaxNumber: | 7245483888 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2013 | ||||||||
| LastUpdateDate: | 12/21/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AT0063001 | PA | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.