Provider Demographics
NPI:1922497338
Name:PAPPAS, CHRISTINE JILL (MA, PSYD, CEDS)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:JILL
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:MA, PSYD, CEDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2082 UNION ST FL 3
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4103
Mailing Address - Country:US
Mailing Address - Phone:415-250-7968
Mailing Address - Fax:
Practice Address - Street 1:2082 UNION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4103
Practice Address - Country:US
Practice Address - Phone:415-250-7968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-22
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22303103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical