MEDICARE: DR. NICOLE A HERMANN-METZGER PSYD, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	25698	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4475	OTHER	CA	CONTRA COSTA COUNTY MEDICARE

General Provider Information

NPI Number	:	1942353578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICOLE A HERMANN-METZGER PSYD, LP

Provider Business Mailing Address
First Line	:	2970 CAMINO DIABLO STE 300
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94597-4001
Country	:	US
Telephone Number	:	925-282-1778
Fax Number	:	415-296-5299

Provider Business Practice Location Address
First Line	:	2970 CAMINO DIABLO STE 300
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94597-4001
Country	:	US
Telephone Number	:	925-282-1778
Fax Number	:	415-296-5299

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/14/2025

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