Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003237652 |
---|---|
Provider Name | Elaine Pappalardo |
First Address | Milford, MA 01757-1748 |
Second Address | Milford, MA 01757-1748 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2013 |
Last Update Date | 15/09/2016 |