Provider Demographics
NPI:1073882452
Name:MCLEAN, SHEILA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 SAND CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-2938
Mailing Address - Country:US
Mailing Address - Phone:518-459-1333
Mailing Address - Fax:518-459-1404
Practice Address - Street 1:329 SAND CREEK RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-2938
Practice Address - Country:US
Practice Address - Phone:518-459-1333
Practice Address - Fax:518-459-1404
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014923103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool