MEDICARE: MRS. ALLYSON RYAN METZ M.S., CCC-SLP

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	235Z00000X	Speech-Language Pathologist	14047826	CO

General Provider Information

NPI Number	:	1932487501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLYSON RYAN METZ M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	3001 TAFT AVE
Second Line	:	SUITE 100
City	:	LOVELAND
State	:	CO
Zip	:	80538-8307
Country	:	US
Telephone Number	:	970-663-3222
Fax Number	:	970-663-3227

Provider Business Practice Location Address
First Line	:	3001 TAFT AVE
Second Line	:	SUITE 100
City	:	LOVELAND
State	:	CO
Zip	:	80538-8307
Country	:	US
Telephone Number	:	970-663-3222
Fax Number	:	970-663-3227

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

Provider Enumeration Date	:	07/29/2011
Last Update Date	:	07/29/2011

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