Provider Demographics
NPI:1376695395
Name:PAPPAS, JOAN HELENE (MA, MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:HELENE
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 N MADDOX DR
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-3069
Mailing Address - Country:US
Mailing Address - Phone:765-287-1664
Mailing Address - Fax:
Practice Address - Street 1:1407 N MADDOX DR
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-3069
Practice Address - Country:US
Practice Address - Phone:765-287-1664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist