Individual
DR. JOHN D. SWEETLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1400 WANTAGH AVE, SUITE 212, WANTAGH, NY 11793-2257
(516) 889-9190
Mailing address
PO BOX 496, 53 HEWLETT AVE., POINT LOOKOUT, NY 11569-0496
(516) 889-9190
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023096
GHI
NY
Enumeration date
07/18/2006
Last updated
07/08/2007
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