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NPI Code Detail

MEDICARE: DANIEL JONATHAN MECKEL PHD LGSW

MEDICARE: DANIEL JONATHAN MECKEL PHD LGSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorG11938MD

General Provider Information

NPI Number : 1235102161
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL JONATHAN MECKEL PHD LGSW
Provider Business Mailing Address
First Line : PO BOX 826
Second Line : TRICO CORPORATION
City : LEXINGTON PARK
State : MD
Zip : 20653-0826
Country : US
Telephone Number : 301-862-4966
Fax Number : 301-862-5554
Provider Business Practice Location Address
First Line : 22 INDUSTRIAL PARK DR
Second Line : SUITE 101
City : WALDORF
State : MD
Zip : 20602-2792
Country : US
Telephone Number : 301-632-2100
Fax Number : 301-632-2150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 07/08/2007

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