Individual
DR. KATHLEEN MANUPELLA SWEENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
116 3RD ST, TROY, NY 12180-4037
(518) 235-3701
(518) 266-9236
Mailing address
7 HORIZON LN, TROY, NY 12182-1663
(518) 235-3701
(518) 266-9236
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014350
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
014350
NY
103TC2200X
Clinical Child & Adolescent Psychologist
014350
NY
Other
Enumeration date
09/03/2008
Last updated
09/12/2008
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