Provider Demographics
NPI:1649545948
Name:MEKLIR, MEREDITH KAYE (MA)
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:KAYE
Last Name:MEKLIR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2322 W BELDEN AVE
Mailing Address - Street 2:2W
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-6499
Mailing Address - Country:US
Mailing Address - Phone:818-634-6569
Mailing Address - Fax:
Practice Address - Street 1:2322 WEST BELDEN AVENUE
Practice Address - Street 2:2W
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647
Practice Address - Country:US
Practice Address - Phone:818-634-6569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst