MEDICARE: CINDEA J METZLER MFT

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	106H00000X	Marriage & Family Therapist	MFC 38808	CA

General Provider Information

NPI Number	:	1487690483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDEA J METZLER MFT

Provider Business Mailing Address
First Line	:	3633 CAMINO DEL RIO S
Second Line	:	SUITE 102
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-4011
Country	:	US
Telephone Number	:	858-254-6590
Fax Number	:	619-938-9974

Provider Business Practice Location Address
First Line	:	3633 CAMINO DEL RIO S
Second Line	:	SUITE 102
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-4011
Country	:	US
Telephone Number	:	858-254-6590
Fax Number	:	619-938-9974

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

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	02/10/2011

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