Provider Demographics
NPI:1942030135
Name:KNIGHT, TIMOTHY ANDREW (MED TVI-COMS)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:ANDREW
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:MED TVI-COMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 TANNEHILL DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-7173
Mailing Address - Country:US
Mailing Address - Phone:412-337-8220
Mailing Address - Fax:
Practice Address - Street 1:30 TANNEHILL DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-7173
Practice Address - Country:US
Practice Address - Phone:412-337-8220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency