Provider Demographics
NPI:1437218518
Name:TRIPI, ELAINE MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:MARIE
Last Name:TRIPI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 NEWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-9567
Mailing Address - Country:US
Mailing Address - Phone:810-227-1215
Mailing Address - Fax:
Practice Address - Street 1:2000 GRAND RIVER ANX
Practice Address - Street 2:STE 300
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-3800
Practice Address - Country:US
Practice Address - Phone:517-304-6433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301008382103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI71020000D74518Medicare ID - Type Unspecified