MEDICARE: ERIN COLLEEN SWEENEY MA,CCC,SLP

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	235Z00000X	Speech-Language Pathologist	SP11579	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295137958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN COLLEEN SWEENEY MA,CCC,SLP

Provider Business Mailing Address
First Line	:	1929 E ROYALTON RD STE A
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-2868
Country	:	US
Telephone Number	:	440-838-0990
Fax Number	:	440-584-0377

Provider Business Practice Location Address
First Line	:	1929 E ROYALTON RD STE A
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-2868
Country	:	US
Telephone Number	:	440-838-0990
Fax Number	:	440-584-0377

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

Provider Enumeration Date	:	09/24/2014
Last Update Date	:	07/05/2016

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Directions to “ ERIN COLLEEN SWEENEY MA,CCC,SLP” Practice Location

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