MEDICARE: MRS. SUSAN MCSWEENEY M.S.,LMFT, LMHC

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	101YM0800X	Mental Health Counselor	311	MA
2	106H00000X	Marriage & Family Therapist	336	MA

General Provider Information

NPI Number	:	1295937910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUSAN MCSWEENEY M.S.,LMFT, LMHC

Provider Business Mailing Address
First Line	:	2 COLUMBIA RD
Second Line	:	SUITE 8
City	:	PEMBROKE
State	:	MA
Zip	:	02359-1842
Country	:	US
Telephone Number	:	781-829-9044
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 COLUMBIA RD
Second Line	:	SUITE 8
City	:	PEMBROKE
State	:	MA
Zip	:	02359-1842
Country	:	US
Telephone Number	:	781-829-9044
Fax Number	:

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

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	01/09/2008

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