Provider Demographics
NPI:1619264603
Name:METZER, EMILY CATHRYN (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:CATHRYN
Last Name:METZER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 EDSON LN APT 304
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2901
Mailing Address - Country:US
Mailing Address - Phone:301-985-2255
Mailing Address - Fax:
Practice Address - Street 1:5801 EDSON LN APT 304
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2901
Practice Address - Country:US
Practice Address - Phone:301-985-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06769235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist