Doctor Name: | DR. CYNTHIA NOLD METZ |
NPI Number: | 1215157201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PX7279 |
Business Practice Address: | 13200 W Newberry Rd Apt. Cc164 Newberry, FL - 326692764 |
Business Phone Number: | 3522264804 |
Business Fax Number: | |
Mailing Address: | 13200 W Newberry Rd, Apt. Cc164 NEWBERRY |
State: | FL |
Postal Code: | 326692764 |
Phone Number: | 3522264804 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 05/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PX7279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |