Provider Demographics
NPI:1003048968
Name:METZGER, MATTHEW (PHD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:METZGER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 ALBERTO WAY STE 180
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-5481
Mailing Address - Country:US
Mailing Address - Phone:970-236-6240
Mailing Address - Fax:408-550-1879
Practice Address - Street 1:475 ALBERTO WAY STE 180
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-5481
Practice Address - Country:US
Practice Address - Phone:970-236-6240
Practice Address - Fax:408-550-1879
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25425103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical