Provider Demographics
NPI:1679798623
Name:KNIGHT, MELVIN L (PHD)
Entity type:Individual
Prefix:
First Name:MELVIN
Middle Name:L
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 W VIEWMONT WAY W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2442
Mailing Address - Country:US
Mailing Address - Phone:206-282-5100
Mailing Address - Fax:
Practice Address - Street 1:3240 W VIEWMONT WAY W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199-2442
Practice Address - Country:US
Practice Address - Phone:206-282-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0812103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical