Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 400 | OR |
N | 103T00000X | Psychologist | 400 | OR |
N | 103TH0100X | Health Service | 400 | OR |
NPI | 1477582906 |
---|---|
Provider Name | Dr. David Neale Sweet |
First Address | Salem, OR 97301-2402 |
Second Address | Salem, OR 97301-2402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 08/07/2007 |