Individual
DR. ELAINE MARY SWEENEY
Active
Individual
DR. ELAINE MARY SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
#7889
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7889
MA PSYCHOLOGY LICENSE
MA
01
—
WO6358
BCBSMA INDEMNITY PROVIDER
MA
Enumeration date
05/18/2006
Last updated
07/08/2007
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