Provider Demographics
NPI:1780195818
Name:MEEK, LYNDA MARY
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:MARY
Last Name:MEEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11378 HARNESS RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55129-1201
Mailing Address - Country:US
Mailing Address - Phone:612-860-4863
Mailing Address - Fax:651-425-4215
Practice Address - Street 1:11070 BAILEY RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55129-9692
Practice Address - Country:US
Practice Address - Phone:612-860-4863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical