Individual
DR. WILLIAM I PAPPADAKE
Active
Individual
DR. WILLIAM I PAPPADAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001236
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022161000
MAGELLAN
—
01
—
096047
BCBS VA05
—
01
—
133117
MHN
—
05
—
775112-5
—
VA
Enumeration date
09/07/2006
Last updated
07/08/2007
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