| Doctor Name: | KATINA ELIZABETH PAPASIFAKIS |
| NPI Number: | 1902225204 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, RN, PMHNP-BC |
| License Number: | SP013769 |
| Business Practice Address: | 800 Chester Pike Sharon Hill, PA - 190791400 |
| Business Phone Number: | 6105343400 |
| Business Fax Number: | |
| Mailing Address: | 1219 Fountain Dr, TROY |
| State: | MI |
| Postal Code: | 480984421 |
| Phone Number: | 2487976566 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2014 |
| NPI Last Update Date: | 04/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | SP013769 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |