Provider Demographics
NPI:1104851831
Name:TRINKLE-KNOTTS, MEGAN EILEEN (MS CGC)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:EILEEN
Last Name:TRINKLE-KNOTTS
Suffix:
Gender:F
Credentials:MS CGC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:EILEEN
Other - Last Name:TUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CGC
Mailing Address - Street 1:9644 OVERCREST DRIVE
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037
Mailing Address - Country:US
Mailing Address - Phone:317-946-2599
Mailing Address - Fax:812-237-4299
Practice Address - Street 1:9644 OVERCREST DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-8926
Practice Address - Country:US
Practice Address - Phone:317-946-2599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN74000004A170300000X, 170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS