Healthcare Provider Details

I. General information

NPI: 1720634363
Provider Name (Legal Business Name): ALISON METZLER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2019
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 PAOLI PIKE
MALVERN PA
19355-3311
US

IV. Provider business mailing address

1528 WALNUT ST STE 1500
PHILADELPHIA PA
19102-3611
US

V. Phone/Fax

Practice location:
  • Phone: 484-596-5430
  • Fax:
Mailing address:
  • Phone: 215-735-2505
  • Fax: 215-735-2504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS018796
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: