Timothy L Knight, HSPP | |
488 W Hospital Rd, Paoli, IN 47454-8807 | |
(812) 482-3020 | |
(812) 482-6409 |
Full Name | Timothy L Knight |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 488 W Hospital Rd, Paoli, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790775500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 20040288A (Indiana) | Primary |
Entity Name | Southern Hills Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134118276 PECOS PAC ID: 5496642555 Enrollment ID: O20040303000105 |
Entity Name | Lifespring Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040315000128 |
Mailing Address | Practice Location Address |
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Timothy L Knight, HSPP Po Box 769, Jasper, IN 47547-0769 Ph: (812) 482-3020 | Timothy L Knight, HSPP 488 W Hospital Rd, Paoli, IN 47454-8807 Ph: (812) 482-3020 |
Ms. Jasmita Ranchod, LSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 488 W Hospital Road, Paoli, IN 47454 Phone: 812-723-4301 Fax: 812-723-4306 | |
Michael Gillis, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 Elm St Ste 2, Paoli, IN 47454 Phone: 502-693-2719 |