Provider Demographics
NPI:1114341500
Name:SWEENEY, CHRIS (PSYS)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:M
Credentials:PSYS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7467 E ORALEE LN
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-5359
Mailing Address - Country:US
Mailing Address - Phone:440-477-9816
Mailing Address - Fax:
Practice Address - Street 1:7467 E ORALEE LN
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-5359
Practice Address - Country:US
Practice Address - Phone:440-477-9816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH1540090103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool