Provider Demographics
NPI:1053493338
Name:SWEENEY, R GERALD (M ED)
Entity Type:Individual
Prefix:
First Name:R
Middle Name:GERALD
Last Name:SWEENEY
Suffix:
Gender:M
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1627
Mailing Address - Country:US
Mailing Address - Phone:412-441-9786
Mailing Address - Fax:412-363-2375
Practice Address - Street 1:5150 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1627
Practice Address - Country:US
Practice Address - Phone:412-441-9786
Practice Address - Fax:412-363-2375
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health