Provider Demographics
NPI:1386918944
Name:SWEETING, NATALIE LYNN (MS)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:LYNN
Last Name:SWEETING
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 UNITED ST
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3519
Mailing Address - Country:US
Mailing Address - Phone:305-395-2343
Mailing Address - Fax:305-768-0803
Practice Address - Street 1:5030 5TH AVE
Practice Address - Street 2:UNIT 73
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-5716
Practice Address - Country:US
Practice Address - Phone:305-395-2343
Practice Address - Fax:305-768-0803
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004648200Medicaid