Provider Demographics
NPI:1821551821
Name:MCGHEE, LESLIE D (CD(DONA))
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:D
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 E 18TH ST APT 5D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-4756
Mailing Address - Country:US
Mailing Address - Phone:803-318-3070
Mailing Address - Fax:
Practice Address - Street 1:180 E 18TH ST APT 5D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-4756
Practice Address - Country:US
Practice Address - Phone:803-318-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL13008374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula