Provider Demographics
NPI:1407938129
Name:MCLEOD, SAADIA AHSAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SAADIA
Middle Name:AHSAN
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21660 COPLEY DR
Mailing Address - Street 2:STE 210
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-4109
Mailing Address - Country:US
Mailing Address - Phone:909-720-4997
Mailing Address - Fax:909-396-6889
Practice Address - Street 1:21660 COPLEY DR STE 210
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-4109
Practice Address - Country:US
Practice Address - Phone:909-720-4997
Practice Address - Fax:909-396-6889
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17324103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical