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CAROL ELAINE MECKLENBURG PHD LP NPI 1144472853


NPI Information

NPI: 1144472853
Provider Name: CAROL ELAINE MECKLENBURG, PHD LP
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

Address:
2399 ARIEL ST N STE D
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 770-1311
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Carol Elaine Mecklenburg, PHD LP is a clinical child and adolescent psychologist in Maplewood, MN. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Carol Elaine Mecklenburg, PHD LP NPI is 1144472853. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2399 ARIEL ST N STE D
MAPLEWOOD, MN
ZIP 55109-202
Phone: (651) 770-1311
Fax: (651) 770-1879

The enumeration date for this NPI number is 10/14/2008 and was last updated on 10/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TS0200XPsychologistSchool254940MINNESOTANo
2103TC2200XPsychologistClinical Child & Adolescent4962MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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