| Doctor Name: | DR. SUE ANN BARRETT |
| NPI Number: | 1134362759 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, PMHNP |
| License Number: | 309002554 |
| Business Practice Address: | 3033 Ogden Ave Suite 210 Lisle, IL - 605321673 |
| Business Phone Number: | 6303574608 |
| Business Fax Number: | 6303574677 |
| Mailing Address: | 3033 Ogden Ave, Suite 210 LISLE |
| State: | IL |
| Postal Code: | 605321673 |
| Phone Number: | 6303574608 |
| Fax Number: | 6303574677 |
| NPI Enumeration Date: | 04/13/2009 |
| NPI Last Update Date: | 04/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 309002554 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |