| Michael Pappano Llc | |
|
1315 Walnut St Ste 1700 Philadelphia PA 19107-4717 | |
| (267) 428-1456 | |
| Not Available |
| Full Name | Michael Pappano Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1315 Walnut St Ste 1700, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Michael Pappano (PSYCHOTHERAPIST, OWNER) |
| Authorized Official Contact | 2674281456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Pappano Llc 5011 Sansom St Unit 9448 Philadelphia PA 19139-3582 Ph: (215) 290-5589 | Michael Pappano Llc 1315 Walnut St Ste 1700 Philadelphia PA 19107-4717 Ph: (267) 428-1456 |
| NPI Number | 1770192890 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 4688091549 |
|---|---|
| Medicare Enrollment ID | O20200824003619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770192890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michael Peter Pappano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649738956 PECOS PAC ID: 1951725241 Enrollment ID: I20200720002261 |
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