Lisa E. Metler Ph.d., P.c. | |
39500 W 14 Mile Rd Suite 141 Commerce Township MI 48390-3908 | |
(248) 705-1421 | |
Not Available |
Full Name | Lisa E. Metler Ph.d., P.c. |
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Speciality | Psychologist |
Location | 39500 W 14 Mile Rd, Commerce Township, Michigan |
Authorized Official Name and Position | Lisa Metler (PH.D.) |
Authorized Official Contact | 2487051421 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lisa E. Metler Ph.d., P.c. 39500 W 14 Mile Rd Suite 141 Commerce Township MI 48390-3908 Ph: () - | Lisa E. Metler Ph.d., P.c. 39500 W 14 Mile Rd Suite 141 Commerce Township MI 48390-3908 Ph: (248) 705-1421 |
NPI Number | 1942466347 |
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Provider Enumeration Date | 08/05/2008 |
Last Update Date | 08/05/2008 |
Medicare PECOS PAC ID | 5294063053 |
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Medicare Enrollment ID | O20190819001626 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942466347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6301008070 (Michigan) | Primary |
Provider Name | Lisa Metler |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1013904796 PECOS PAC ID: 2264508548 Enrollment ID: I20080910000607 |
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