| Doctor Name: | MR. SCOTT MARTIN SWEENEY |
| NPI Number: | 1053478677 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 000314 |
| Business Practice Address: | 17 S Highland St West Hartford, CT - 061191826 |
| Business Phone Number: | 8602121733 |
| Business Fax Number: | |
| Mailing Address: | 17 S Highland St, WEST HARTFORD |
| State: | CT |
| Postal Code: | 061191826 |
| Phone Number: | 8602121733 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000314 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |