Provider Demographics
NPI:1063434967
Name:METZGER, LINDA (MA,MFT)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:METZGER
Suffix:
Gender:F
Credentials:MA,MFT
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:METZGER,M.A.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:501 MARIN ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4260
Mailing Address - Country:US
Mailing Address - Phone:805-496-8918
Mailing Address - Fax:805-496-1407
Practice Address - Street 1:501 MARIN ST
Practice Address - Street 2:SUITE 110
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-4260
Practice Address - Country:US
Practice Address - Phone:805-496-8918
Practice Address - Fax:805-496-1407
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT23071106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist