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NPI Code Detail

MEDICARE: DR. MICHAEL ARTHUR MCLEOD PH.D.

MEDICARE:  DR. MICHAEL ARTHUR MCLEOD  PH.D.
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
1103TM1800XIntellectual & Developmental Disabilities Psychologist01216MO

General Provider Information

NPI Number : 1699892885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ARTHUR MCLEOD PH.D.
Provider Business Mailing Address
First Line : 724 ROLFE DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63122-1648
Country : US
Telephone Number : 314-965-3318
Fax Number :
Provider Business Practice Location Address
First Line : 724 ROLFE DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63122-1648
Country : US
Telephone Number : 314-965-3318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 07/08/2007

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Directions to “ DR. MICHAEL ARTHUR MCLEOD PH.D.” Practice Location

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