Provider Demographics
NPI:1598129082
Name:METZLER, KATE
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:METZLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WINDSOR PINES DR
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-8824
Mailing Address - Country:US
Mailing Address - Phone:845-807-2500
Mailing Address - Fax:
Practice Address - Street 1:4 SCAMMON ST STE 51
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-5122
Practice Address - Country:US
Practice Address - Phone:207-282-3327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP99603101YM0800X
MECC7074101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health