Provider Demographics
NPI:1558656629
Name:SWEENEY, JAMES E (PHD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:SWEENEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-2477
Mailing Address - Country:US
Mailing Address - Phone:603-752-4133
Mailing Address - Fax:
Practice Address - Street 1:164 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-2477
Practice Address - Country:US
Practice Address - Phone:603-752-4133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH856101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health