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General NPI Number Information
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NPI Number | 1265556856
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Entity Type | Individual
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Provider Name | SUSAN CHERYL URMETZ PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 10597 MONTGOMERY RD STE 201
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City | MONTGOMERY
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State | OH
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Zip | 45242-4472
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Country | US
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Telephone | 847-644-3687
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Fax | 513-793-5054
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Provider Business Mailing Address
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Address Line | 9245 AMETHYST LN
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City | WEST CHESTER
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State | OH
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Zip | 45241-3863
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Country | US
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Telephone | 847-644-3687
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Fax | 513-793-5054
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071-004126
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P.07792
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License Number State | OH
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