Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Domenica M Knudsen

Individual provider Clinical Psychologist · NPI 1336109230

Domenica M Knudsen is a Clinical Psychologist in Media, Pennsylvania. Qualified in 1995, 31 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Delaware and Pennsylvania.

Years since qualifying
31
Licensed in
DE, PA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

280 N Providence Rd
Media, PA 19063-3527
Phone: (610) 565-6843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS008547L (PA)
Clinical Psychologist Taxonomy 103TC0700X · Licence B1-0000679 (DE)

Record details

NPI number1336109230
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 24, 2006
Last updated in NPPESJune 7, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Media