Provider Demographics
NPI:1689829103
Name:PAPPAS, CHRISTIN MARIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIN
Middle Name:MARIE
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3744 WHIRLAWAY DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-6314
Mailing Address - Country:US
Mailing Address - Phone:847-863-4195
Mailing Address - Fax:
Practice Address - Street 1:3744 WHIRLAWAY DR
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-6314
Practice Address - Country:US
Practice Address - Phone:847-863-4195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242000860235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist