Provider Demographics
NPI:1336232677
Name:MEEKER, DAVID J (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:MEEKER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 ROCKLEDGE LN
Mailing Address - Street 2:
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983-1918
Mailing Address - Country:US
Mailing Address - Phone:518-524-0418
Mailing Address - Fax:518-523-8959
Practice Address - Street 1:17 ROCKLEDGE LN
Practice Address - Street 2:
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-1918
Practice Address - Country:US
Practice Address - Phone:518-524-0418
Practice Address - Fax:518-523-8959
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8981103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist