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General NPI Number Information
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NPI Number | 1659270825
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Entity Type | Individual
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Provider Name | SUSAN MICHELLE SEELEY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | PO BOX 849
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City | JACKSON CENTER
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State | OH
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Zip | 45334-0849
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Country | US
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Telephone | 937-596-6053
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Fax | 937-596-6490
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Provider Business Mailing Address
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Address Line | 129 E COURT ST FL 4
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City | SIDNEY
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State | OH
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Zip | 45365-3021
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Country | US
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Telephone | 937-498-1354
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Fax | 937-599-1959
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6140
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | LSP.02591
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License Number State | OH
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