Healthcare Provider Details

I. General information

NPI: 1285540831
Provider Name (Legal Business Name): ASHLEY METZGER M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4349 2ND ST
BROWN CITY MI
48416-8777
US

IV. Provider business mailing address

4349 2ND ST PO BOX 160
BROWN CITY MI
48416
US

V. Phone/Fax

Practice location:
  • Phone: 810-346-4700
  • Fax:
Mailing address:
  • Phone: 810-346-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101006465
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: