Provider Demographics
NPI:1538298849
Name:TRETT, SUSAN A (MS, LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:A
Last Name:TRETT
Suffix:
Gender:F
Credentials:MS, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 DOUCET RD
Mailing Address - Street 2:SDUITE 222 B14
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3488
Mailing Address - Country:US
Mailing Address - Phone:337-988-4181
Mailing Address - Fax:
Practice Address - Street 1:413 ELMWOOD DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-5219
Practice Address - Country:US
Practice Address - Phone:337-989-0149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1569 & 344170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS