Provider Demographics
NPI:1902817828
Name:BABST, SUSAN CATHERINE (MA, LPC, LLP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:CATHERINE
Last Name:BABST
Suffix:
Gender:F
Credentials:MA, LPC, LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:36250 DEQUINDRE RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-7143
Mailing Address - Country:US
Mailing Address - Phone:586-795-0569
Mailing Address - Fax:586-795-2761
Practice Address - Street 1:36250 DEQUINDRE RD
Practice Address - Street 2:SUITE 310
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-7143
Practice Address - Country:US
Practice Address - Phone:586-795-0569
Practice Address - Fax:586-795-2761
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI6301012467103T00000X
MI6401008366101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional