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General NPI Number Information
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NPI Number | 1679971592
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Entity Type | Organization
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Legal Business Name | DR. MICHELLE SHEETS CLINICAL PSYCHOLOGIST PLLC
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Dates
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Enumeration Date | 12/09/2014
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Last Update Date | 02/11/2023
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Provider Practice Location Address
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Address Line | 244 5TH AVE STE S236
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City | NEW YORK
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State | NY
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Zip | 10001-7604
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Country | US
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Telephone | 347-977-7637
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Fax |
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Provider Business Mailing Address
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Address Line | 847 EUCLAIRE AVE
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City | BEXLEY
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State | OH
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Zip | 43209-2415
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Country | US
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Telephone | 347-977-7637
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHELLE T SHEETS
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Credential | PH.D
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Telephone | 347-977-7637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 018906
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License Number State | NY
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