Provider Demographics
NPI:1053443283
Name:METZLER, MARIA R (MA CCC-SLPL)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:R
Last Name:METZLER
Suffix:
Gender:F
Credentials:MA CCC-SLPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 145
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-0145
Mailing Address - Country:US
Mailing Address - Phone:708-305-0487
Mailing Address - Fax:866-881-0484
Practice Address - Street 1:18105 WATERSIDE CIR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5312
Practice Address - Country:US
Practice Address - Phone:708-305-0487
Practice Address - Fax:866-881-0484
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist