Provider Demographics
NPI:1205370574
Name:SARIPALLI, VARALAKSHMI P (PSYD)
Entity Type:Individual
Prefix:DR
First Name:VARALAKSHMI
Middle Name:P
Last Name:SARIPALLI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:VARA
Other - Middle Name:
Other - Last Name:SARIPALLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:25 E WASHINGTON ST STE 826
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1799
Mailing Address - Country:US
Mailing Address - Phone:708-572-0420
Mailing Address - Fax:
Practice Address - Street 1:25 E WASHINGTON ST STE 826
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1799
Practice Address - Country:US
Practice Address - Phone:708-572-0420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.009439103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical