Healthcare Provider Details

I. General information

NPI: 1972388858
Provider Name (Legal Business Name): MEREDITH KEPLER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 08/29/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 HOBART ST NW UNIT 3
WASHINGTON DC
20009-3788
US

IV. Provider business mailing address

1601 HOBART ST NW UNIT 3
WASHINGTON DC
20009-3788
US

V. Phone/Fax

Practice location:
  • Phone: 412-407-7946
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MEREDITH KEPLER
Title or Position: OWNER
Credential: LCSW
Phone: 814-934-8761