| Doctor Name: | MR. PAUL C. TRETBAR |
| NPI Number: | 1053439638 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | SW 6808 |
| Business Practice Address: | 15321 S Dixie Hwy Suite 210 Palmetto Bay, FL - 331571814 |
| Business Phone Number: | 3052590016 |
| Business Fax Number: | 3052590818 |
| Mailing Address: | 10267 Sw 77th Ct, MIAMI |
| State: | FL |
| Postal Code: | 331562687 |
| Phone Number: | 3052590016 |
| Fax Number: | 3052590818 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW 6808 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |