Provider Demographics
NPI:1396800959
Name:MECKLER, KAREN F (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:F
Last Name:MECKLER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9650 SANTIAGO RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3957
Mailing Address - Country:US
Mailing Address - Phone:410-964-2206
Mailing Address - Fax:410-964-2237
Practice Address - Street 1:9650 SANTIAGO RD
Practice Address - Street 2:SUITE 3
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3957
Practice Address - Country:US
Practice Address - Phone:410-964-2206
Practice Address - Fax:410-964-2237
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2013-09-11
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Provider Licenses
StateLicense IDTaxonomies
MDD00314522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD281371800Medicaid
MD281371800Medicaid