Provider Demographics
NPI:1982850061
Name:SWEENEY, SHIRLEY ARNTZEN (SPEECH/LANGUAGE PATH)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:ARNTZEN
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:SPEECH/LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6514 MESA CANYON CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-8787
Mailing Address - Country:US
Mailing Address - Phone:281-829-9287
Mailing Address - Fax:
Practice Address - Street 1:6514 MESA CANYON CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-8787
Practice Address - Country:US
Practice Address - Phone:281-829-9287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12394235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist