Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROL ELAINE MECKLENBURG, PHD LP
Active Sole ProprietorCAROL ELAINE MECKLENBURG, PHD LP is a Child, Clinical Psychologist healthcare provider located in MAPLEWOOD, Minnesota. NPI 1144472853 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · MAPLEWOOD, MN
Registration Details
- NPI Number
- 1144472853
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2008 (17.816124851919 yrs)
- Last Updated
- Oct 14, 2008
- Licenses
-
4962 (MN)254940 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2399 ARIEL ST N STE DMAPLEWOOD, MN, 551092202Browse MN providers · Browse ZIP 55109
- Phone
- 6517701311
- Fax
- 6517701879
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- School Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.