Provider Demographics
NPI:1629202528
Name:METZ, CHRISTA CARLETTA (BA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:CARLETTA
Last Name:METZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MISS
Other - First Name:CHRISTA
Other - Middle Name:CARLETTA
Other - Last Name:STAHR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA
Mailing Address - Street 1:200 N 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046-5040
Mailing Address - Country:US
Mailing Address - Phone:717-273-1710
Mailing Address - Fax:717-273-1416
Practice Address - Street 1:1 GREYSTONE ROAD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-2660
Practice Address - Country:US
Practice Address - Phone:717-243-7534
Practice Address - Fax:717-243-5489
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst