Provider Demographics
NPI:1538508858
Name:SWEENEY, ANDREW (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7809 LAUREL AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:MADEIRA
Mailing Address - State:OH
Mailing Address - Zip Code:45243-2673
Mailing Address - Country:US
Mailing Address - Phone:513-271-9700
Mailing Address - Fax:513-272-0700
Practice Address - Street 1:7809 LAUREL AVE STE 2
Practice Address - Street 2:
Practice Address - City:MADEIRA
Practice Address - State:OH
Practice Address - Zip Code:45243-2673
Practice Address - Country:US
Practice Address - Phone:513-271-9700
Practice Address - Fax:513-272-0700
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6906103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical