| Doctor Name: | LISA METLER |
| NPI Number: | 1013904796 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 4301008070 |
| Business Practice Address: | 46325 W. Twelve Mile Rd Ste. 100 Novi, MI - 48377 |
| Business Phone Number: | 8777843667 |
| Business Fax Number: | 2488693982 |
| Mailing Address: | 29275 Northwestern Hwy, Ste 100 SOUTHFIELD |
| State: | MI |
| Postal Code: | 480341044 |
| Phone Number: | 8777843667 |
| Fax Number: | 2487843743 |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 11/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 4301008070 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |