Doctor Name: | CHERYL URBAN |
NPI Number: | 1093902231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | C0000972 |
Business Practice Address: | 1888 E High Ave New Philadelphia, OH - 446633239 |
Business Phone Number: | 3303080294 |
Business Fax Number: | 3303080621 |
Mailing Address: | 2803 Akron Rd, WOOSTER |
State: | OH |
Postal Code: | 446917904 |
Phone Number: | 3302643232 |
Fax Number: | 3302023879 |
NPI Enumeration Date: | 10/02/2007 |
NPI Last Update Date: | 10/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | C0000972 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |