Provider Demographics
NPI:1245731447
Name:PAPALIA, DARIA (PHD)
Entity type:Individual
Prefix:
First Name:DARIA
Middle Name:
Last Name:PAPALIA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US COAST GUARD ACADEMY; MICHEL HALL
Mailing Address - Street 2:15 MOHEGAN AVENUE
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-8100
Mailing Address - Country:US
Mailing Address - Phone:860-444-8520
Mailing Address - Fax:
Practice Address - Street 1:US COAST GUARD ACADEMY; MICHEL HALL
Practice Address - Street 2:15 MOHEGAN AVENUE
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-8100
Practice Address - Country:US
Practice Address - Phone:860-444-8520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012590103TC0700X
MA7609-PY-PR103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical