MEDICARE: DR. LUCETRY DALTON-TRUSTY PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6301018016	MI

General Provider Information

NPI Number	:	1124554159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCETRY DALTON-TRUSTY PSY.D.

Provider Business Mailing Address
First Line	:	5425 GULLEN MALL OFC 343
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-3905
Country	:	US
Telephone Number	:	248-421-3524
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 GREENFIELD RD
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1802
Country	:	US
Telephone Number	:	313-777-9034
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	11/18/2024

Similar Medicare Providers

1518820398 — MARAM MUSA
Practice Location Address:

3200 GREENFIELD RD
DEARBORN, MI
48120-1802

Practice Phone: 734-353-8789
Practice Fax:

1821182585 — SENIOR ALLIANCE INC
Practice Location Address:

3200 GREENFIELD RD STE 100
DEARBORN, MI
48120-1802

Practice Phone: 734-722-2830
Practice Fax:

1508009770 — THE SENIOR ALLIANCE
Practice Location Address:

3200 GREENFIELD RD STE 100
DEARBORN, MI
48120-1802

Practice Phone: 734-722-2830
Practice Fax: 734-722-2836

1831403401 — MAMDOUH ABDULRAZZAK MD PC
Practice Location Address:

3200 GREENFIELD RD , SUITE 250
DEARBORN, MI
48120-1802

Practice Phone: 313-563-3332
Practice Fax: 313-563-3342

1750756417 — PHYLINX
Practice Location Address:

3200 GREENFIELD RD , SUITE 250
DEARBORN, MI
48120-1802

Practice Phone: 866-309-3332
Practice Fax: 855-872-6151

1891154837 — BRAINCARE, LLC
Practice Location Address:

3200 GREENFIELD RD , STE 317
DEARBORN, MI
48120-1802

Practice Phone: 866-848-2522
Practice Fax: 877-290-1544

Directions to “ DR. LUCETRY DALTON-TRUSTY PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.