Doctor Name: | JULIA LESLIE METZGER |
NPI Number: | 1952617516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | |
Business Practice Address: | 68 Harris Bushville Rd Harris, NY - 12742 |
Business Phone Number: | 8457943300 |
Business Fax Number: | 8457911738 |
Mailing Address: | 471 Horseshoe Lake Rd, SWAN LAKE |
State: | NY |
Postal Code: | 127835233 |
Phone Number: | 5164262579 |
Fax Number: | 8457911738 |
NPI Enumeration Date: | 08/20/2010 |
NPI Last Update Date: | 08/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |