Provider Demographics
NPI:1427203017
Name:TRETTIN, SHANTHI (MD, MA)
Entity Type:Individual
Prefix:DR
First Name:SHANTHI
Middle Name:
Last Name:TRETTIN
Suffix:
Gender:F
Credentials:MD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4302
Mailing Address - Country:US
Mailing Address - Phone:267-880-0770
Mailing Address - Fax:267-224-4800
Practice Address - Street 1:173 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4302
Practice Address - Country:US
Practice Address - Phone:267-880-0770
Practice Address - Fax:267-224-4800
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4306832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry