1912950262 NPI number — DR. ELAINE MARY SWEENEY PH. D.

Table of content: DR. ELAINE MARY SWEENEY PH. D. (NPI 1912950262)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912950262 NPI number — DR. ELAINE MARY SWEENEY PH. D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWEENEY
Provider First Name:
ELAINE
Provider Middle Name:
MARY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH. D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912950262
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
190 S QUINSIGAMOND AVE
Provider Second Line Business Mailing Address:
UNIT 204
Provider Business Mailing Address City Name:
SHREWSBURY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01545-4270
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-842-2968
Provider Business Mailing Address Fax Number:
508-842-2968

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
298 BOSTON TPKE
Provider Second Line Business Practice Location Address:
SUITE 10
Provider Business Practice Location Address City Name:
SHREWSBURY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01545-3871
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-363-4332
Provider Business Practice Location Address Fax Number:
508-842-2968
Provider Enumeration Date:
05/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  #7889 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7889 . This is a "MA PSYCHOLOGY LICENSE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: WO6358 . This is a "BCBSMA INDEMNITY PROVIDER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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