Provider Demographics
NPI:1669050902
Name:PAPAIOANNOU, CHRISTOULA CHRISTINE
Entity type:Individual
Prefix:
First Name:CHRISTOULA
Middle Name:CHRISTINE
Last Name:PAPAIOANNOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2758 NE 15TH ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-1642
Mailing Address - Country:US
Mailing Address - Phone:267-207-5502
Mailing Address - Fax:
Practice Address - Street 1:2758 NE 15TH ST APT 1B
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-1642
Practice Address - Country:US
Practice Address - Phone:267-207-5502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty