Provider Demographics
NPI:1508076662
Name:BRADFIELD, SUSAN M (LMFT)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:BRADFIELD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2161 DUSTIN MORGAN LOOP
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-6952
Mailing Address - Country:US
Mailing Address - Phone:337-594-8240
Mailing Address - Fax:
Practice Address - Street 1:130 S 3RD ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-4614
Practice Address - Country:US
Practice Address - Phone:337-457-3000
Practice Address - Fax:337-457-3055
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA808106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist