MEDICARE: DR. BRIAN CLARK SWEENEY PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2301	NC
2	101YS0200X	School Counselor		NC

General Provider Information

NPI Number	:	1891709069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN CLARK SWEENEY PH.D.

Provider Business Mailing Address
First Line	:	2825 EXETER CIR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27608-1115
Country	:	US
Telephone Number	:	919-787-9794
Fax Number	:

Provider Business Practice Location Address
First Line	:	3718 BENSON DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-7321
Country	:	US
Telephone Number	:	919-783-6771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	09/11/2025

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