Doctor Name: | DR. MATTHEW METZGER |
NPI Number: | 1003048968 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY25425 |
Business Practice Address: | 409 Alberto Way Ste 5 Los Gatos, CA - 950325407 |
Business Phone Number: | 9702366240 |
Business Fax Number: | |
Mailing Address: | 409 Alberto Way Ste 5, LOS GATOS |
State: | CA |
Postal Code: | 950325407 |
Phone Number: | 9702366240 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2009 |
NPI Last Update Date: | 07/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY25425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |