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Organization
METAMORPHOSIS THERAPY GROUP INC
Active
Organization
METAMORPHOSIS THERAPY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY GEBHART CCC-SLP (CFO)
(559) 906-8058
Entity
Organization
Contact information
Practice address
2193 E ECLIPSE AVE, FRESNO, CA 93720-4616
(559) 906-8058
Mailing address
2193 E ECLIPSE AVE, FRESNO, CA 93720-4616
(559) 906-8058
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9569
CA
235Z00000X
Speech-Language Pathologist
17021
CA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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