Provider Demographics
NPI:1437908803
Name:METOYER, REBECCA A (PSYD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:METOYER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2437 N EATON CT
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-6494
Mailing Address - Country:US
Mailing Address - Phone:714-376-7000
Mailing Address - Fax:
Practice Address - Street 1:2437 N EATON CT
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-6494
Practice Address - Country:US
Practice Address - Phone:714-376-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALEP4336103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool