Doctor Name: | PAUL SWEENEY |
NPI Number: | 1255749750 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | R92269336 |
Business Practice Address: | 73 Princeton St Suite 203 N Chelmsford, MA - 018631558 |
Business Phone Number: | 9782562922 |
Business Fax Number: | |
Mailing Address: | 47 W Prescott St, WESTFORD |
State: | MA |
Postal Code: | 018862349 |
Phone Number: | 3104881235 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2014 |
NPI Last Update Date: | 07/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | R92269336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |