Provider Demographics
NPI:1538827787
Name:KNIGHT, SHERI (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHERI
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5660 OAKVIEW TER
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6273
Mailing Address - Country:US
Mailing Address - Phone:954-931-9038
Mailing Address - Fax:
Practice Address - Street 1:2501 HOLLYWOOD BLVD STE 206
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6632
Practice Address - Country:US
Practice Address - Phone:954-931-9038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5622103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical