Provider Demographics
NPI:1215160528
Name:SWEET, SAMUEL C (PHD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:C
Last Name:SWEET
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:SAM
Other - Middle Name:C
Other - Last Name:SWEET
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:1710 SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3004
Mailing Address - Country:US
Mailing Address - Phone:415-359-2457
Mailing Address - Fax:415-359-2464
Practice Address - Street 1:1710 SCOTT ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3004
Practice Address - Country:US
Practice Address - Phone:415-359-2457
Practice Address - Fax:415-359-2464
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent