Provider Demographics
NPI:1154194512
Name:PLETAN, GRETCHEN S
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:S
Last Name:PLETAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3618 ROLAND RD
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76273-7558
Mailing Address - Country:US
Mailing Address - Phone:214-538-7250
Mailing Address - Fax:
Practice Address - Street 1:2612 W LAMBERTH RD STE 100
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-5181
Practice Address - Country:US
Practice Address - Phone:254-249-6530
Practice Address - Fax:903-200-1505
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician