Provider Demographics
NPI:1538578299
Name:SWEENEY, JOCIE (PHD)
Entity type:Individual
Prefix:DR
First Name:JOCIE
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JOCELYN
Other - Middle Name:BRINEMAN
Other - Last Name:SWEENEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:811 CENTRAL AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2015
Mailing Address - Country:US
Mailing Address - Phone:980-236-0734
Mailing Address - Fax:980-433-0083
Practice Address - Street 1:811 CENTRAL AVE STE 2
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2015
Practice Address - Country:US
Practice Address - Phone:980-236-0734
Practice Address - Fax:980-433-0083
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4697103TH0004X, 103TC0700X, 103TC0700X, 103TH0004X, 103TP2701X
NC103098103TH0004X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy