Provider Demographics
NPI:1073854154
Name:TRIPALIN, SARA J (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:J
Last Name:TRIPALIN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8383 GREENWAY BLVD STE 608
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-4626
Mailing Address - Country:US
Mailing Address - Phone:608-698-3972
Mailing Address - Fax:
Practice Address - Street 1:8383 GREENWAY BLVD STE 608
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-4626
Practice Address - Country:US
Practice Address - Phone:608-698-3972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI940-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist