Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol Elaine Mecklenburg, PHDLP

Individual provider Clinical Child & Adolescent Psychologist · NPI 1144472853

Carol Elaine Mecklenburg, PHDLP is a Clinical Child & Adolescent Psychologist in Maplewood, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2008
Specialties on file
2

Practice location Address checks out

2399 Ariel St N Ste D
Maplewood, MN 55109-2202
Phone: (651) 770-1311
Fax: (651) 770-1879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 4962 (MN)
School Psychologist Taxonomy 103TS0200X · Licence 254940 (MN)

Record details

NPI number1144472853
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLP
Sole proprietorYes
NPI enumeratedOctober 14, 2008
Last updated in NPPESOctober 14, 2008