Provider Demographics
NPI:1295937910
Name:MCSWEENEY, SUSAN (MS,LMFT, LMHC)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:MCSWEENEY
Suffix:
Gender:F
Credentials:MS,LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 COLUMBIA RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-1842
Mailing Address - Country:US
Mailing Address - Phone:781-829-9044
Mailing Address - Fax:
Practice Address - Street 1:2 COLUMBIA RD
Practice Address - Street 2:SUITE 8
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-1842
Practice Address - Country:US
Practice Address - Phone:781-829-9044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA311101YM0800X
MA336106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist