Provider Demographics
NPI:1568445203
Name:TRIPPEL, MARGARET RUTH (LCDP ATC)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:RUTH
Last Name:TRIPPEL
Suffix:
Gender:F
Credentials:LCDP ATC
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:TRIPPEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9518
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02889-0518
Mailing Address - Country:US
Mailing Address - Phone:401-885-4178
Mailing Address - Fax:401-885-4178
Practice Address - Street 1:5601 POST RD
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3441
Practice Address - Country:US
Practice Address - Phone:401-885-4178
Practice Address - Fax:401-885-4178
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-28
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILCDP00323101YA0400X
RIAT000272255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)