Provider Demographics
NPI:1487443446
Name:KNAPP, CARTER KRISTINE
Entity type:Individual
Prefix:
First Name:CARTER
Middle Name:KRISTINE
Last Name:KNAPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 1ST AVE S STE C
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-1968
Mailing Address - Country:US
Mailing Address - Phone:515-418-3837
Mailing Address - Fax:515-724-7322
Practice Address - Street 1:700 1ST AVE S STE C
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-1968
Practice Address - Country:US
Practice Address - Phone:515-418-3837
Practice Address - Fax:515-724-7322
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA131113101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health