Provider Demographics
NPI:1912131061
Name:METIS PSYCHOLOGICAL ASSOCIATES
Entity Type:Organization
Organization Name:METIS PSYCHOLOGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:EBI
Authorized Official - Middle Name:D
Authorized Official - Last Name:OKARA
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:781-963-1200
Mailing Address - Street 1:490 NORTH MAIN STREET
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-3741
Mailing Address - Country:US
Mailing Address - Phone:781-963-1200
Mailing Address - Fax:781-963-1201
Practice Address - Street 1:490 N MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-3741
Practice Address - Country:US
Practice Address - Phone:781-963-1200
Practice Address - Fax:781-963-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty