Provider Demographics
NPI:1477979052
Name:HARVEY SWEETBAUM, PHD PA
Entity Type:Organization
Organization Name:HARVEY SWEETBAUM, PHD PA
Other - Org Name:COUNSELING AND TREATMENT ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLER/ADMINISTRATOT
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-879-0576
Mailing Address - Street 1:5411 W CEDAR LN
Mailing Address - Street 2:207A
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1516
Mailing Address - Country:US
Mailing Address - Phone:301-681-6789
Mailing Address - Fax:301-384-4703
Practice Address - Street 1:5411 W CEDAR LN
Practice Address - Street 2:207A
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1516
Practice Address - Country:US
Practice Address - Phone:301-681-6789
Practice Address - Fax:301-384-4703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD143281041C0700X
DCLC500791441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty