Timothy L Knight, HSPP

Individual provider Active NPI Clinical Psychologist · Paoli, IN

NPI 1790775500 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1790775500
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
20040288A (IN)
Practice address
488 W Hospital Rd
Paoli, IN 47454-8807
Phone
(812) 482-3020
Fax
(812) 482-6409
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
20040288AINMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20040288A IN Yes

Addresses

Primary practice location

488 W Hospital Rd
Paoli, IN 47454-8807

Mailing address

PO Box 769
Jasper, IN 47547-0769
Phone (812) 482-3020

Other providers in Paoli, IN

All providers in Paoli, IN · Clinical Psychologist in Indiana

Sources for this page

Verify at the official NPI Registry.