Healthcare Provider Details

I. General information

NPI: 1487872818
Provider Name (Legal Business Name): ALLISON M METZ PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 03/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N CHESTNUT ST
RAVENNA OH
44266-2218
US

IV. Provider business mailing address

10456 E COBBLESTONE LN
TWINSBURG OH
44087-1467
US

V. Phone/Fax

Practice location:
  • Phone: 330-296-5552
  • Fax: 330-296-6126
Mailing address:
  • Phone: 440-813-7226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.0008353
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.0008353
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: