Provider Demographics
NPI:1558798173
Name:PEPLINSKI, CAITLIN S
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:S
Last Name:PEPLINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 LEGION CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53090
Mailing Address - Country:US
Mailing Address - Phone:920-257-6657
Mailing Address - Fax:
Practice Address - Street 1:1312 LEGION CIR
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53090-2027
Practice Address - Country:US
Practice Address - Phone:920-257-6657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst