Provider Demographics
NPI:1740415546
Name:FERRANT, SUSAN L (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:L
Last Name:FERRANT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93102-0339
Mailing Address - Country:US
Mailing Address - Phone:805-963-2010
Mailing Address - Fax:805-963-2920
Practice Address - Street 1:26 W MISSION ST
Practice Address - Street 2:SUITE 5
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-0402
Practice Address - Country:US
Practice Address - Phone:805-963-2010
Practice Address - Fax:805-963-2920
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2012-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 13908103TF0200X
CAMFT 14611106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist