Provider Demographics
NPI:1902512296
Name:PAPPOE, EVELYN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:
Last Name:PAPPOE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:EVELYN
Other - Middle Name:
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08010-0487
Mailing Address - Country:US
Mailing Address - Phone:267-588-5402
Mailing Address - Fax:
Practice Address - Street 1:4065 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-3005
Practice Address - Country:US
Practice Address - Phone:267-588-5402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002060106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty