Provider Demographics
NPI:1578837704
Name:SWEENEY, JACQUELINE PARKER (MA)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:PARKER
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 634
Mailing Address - Street 2:PSYCHOLOGICAL ASSESSMENT SERVICES, INC.
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202
Mailing Address - Country:US
Mailing Address - Phone:216-375-7636
Mailing Address - Fax:
Practice Address - Street 1:14601 DETROIT AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4214
Practice Address - Country:US
Practice Address - Phone:440-623-7475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health