Provider Demographics
NPI:1700612827
Name:METZGER, RHEAM EL-ROUBY (MASP, LMHC)
Entity type:Individual
Prefix:
First Name:RHEAM
Middle Name:EL-ROUBY
Last Name:METZGER
Suffix:
Gender:F
Credentials:MASP, LMHC
Other - Prefix:
Other - First Name:RHEAM
Other - Middle Name:
Other - Last Name:EL-ROUBY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MASP, LMHC
Mailing Address - Street 1:702 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-4910
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:702 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-4910
Practice Address - Country:US
Practice Address - Phone:845-416-4753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000967101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health