Provider Demographics
NPI:1326758723
Name:MCLEOD, WYLIA (CERTIFIED DOULA)
Entity Type:Individual
Prefix:
First Name:WYLIA
Middle Name:
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 PROVIDENCE PL
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12202-1321
Mailing Address - Country:US
Mailing Address - Phone:518-512-9467
Mailing Address - Fax:
Practice Address - Street 1:8 PROVIDENCE PL
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12202-1321
Practice Address - Country:US
Practice Address - Phone:518-334-6224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-28
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula