Provider Demographics
NPI:1063980720
Name:PAPPALARDO, AL (PHD)
Entity type:Individual
Prefix:DR
First Name:AL
Middle Name:
Last Name:PAPPALARDO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8183 E WOODSBORO AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-2522
Mailing Address - Country:US
Mailing Address - Phone:714-342-6553
Mailing Address - Fax:
Practice Address - Street 1:8183 E WOODSBORO AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-2522
Practice Address - Country:US
Practice Address - Phone:714-342-6553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-10
Last Update Date:2018-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool