Provider Demographics
NPI:1356546626
Name:METZNER-ZELLE, AMY
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:METZNER-ZELLE
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 1:1371 YMCA DR
Mailing Address - Street 2:
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-2617
Mailing Address - Country:US
Mailing Address - Phone:636-465-0726
Mailing Address - Fax:636-465-0747
Practice Address - Street 1:1371 YMCA DR
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-2617
Practice Address - Country:US
Practice Address - Phone:636-465-0726
Practice Address - Fax:636-465-0747
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0206384235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist