Provider Demographics
NPI:1003954132
Name:METZ, HOLLY (PSYCH INTERN)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:
Last Name:METZ
Suffix:
Gender:F
Credentials:PSYCH INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 VAN NESS ST
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-3622
Mailing Address - Country:US
Mailing Address - Phone:510-307-4169
Mailing Address - Fax:
Practice Address - Street 1:2101 VAN NESS ST
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-3622
Practice Address - Country:US
Practice Address - Phone:510-307-4169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist