Provider Demographics
NPI:1144302522
Name:KNIGHT, DEBRA SUE (PHD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:SUE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:RAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2711 THOMAS DR
Mailing Address - Street 2:SUITE #205
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-2131
Mailing Address - Country:US
Mailing Address - Phone:573-651-0122
Mailing Address - Fax:
Practice Address - Street 1:2711 THOMAS DR
Practice Address - Street 2:SUITE #205
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-2131
Practice Address - Country:US
Practice Address - Phone:573-651-0122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR0370103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical