Provider Demographics
NPI:1689710659
Name:MCLEOD, ANDREW MALCOLM
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:MALCOLM
Last Name:MCLEOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 ALABAMA ST
Mailing Address - Street 2:TELECARE SOLANO STRIDES
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-4511
Mailing Address - Country:US
Mailing Address - Phone:707-558-1600
Mailing Address - Fax:707-558-1606
Practice Address - Street 1:1027 ALABAMA ST
Practice Address - Street 2:TELECARE SOLANO STRIDES
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-4511
Practice Address - Country:US
Practice Address - Phone:707-558-1600
Practice Address - Fax:707-558-1606
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator