Provider Demographics
NPI:1760414270
Name:METRO, JAYNE MCKENZIE (MA, CCC-A)
Entity Type:Individual
Prefix:MS
First Name:JAYNE
Middle Name:MCKENZIE
Last Name:METRO
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:VALLEY ENT ASSOCIATES, PC. 2551 MCLEOD DRIVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604
Mailing Address - Country:US
Mailing Address - Phone:989-799-8620
Mailing Address - Fax:989-799-2664
Practice Address - Street 1:2551 MCLEOD DR S
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2827
Practice Address - Country:US
Practice Address - Phone:989-799-8620
Practice Address - Fax:989-799-2664
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000149231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist