Provider Demographics
NPI:1861645749
Name:MCLEOD, HARRY LEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:LEE
Last Name:MCLEOD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 HELEN AVE
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95354-0242
Mailing Address - Country:US
Mailing Address - Phone:925-449-6449
Mailing Address - Fax:925-449-6499
Practice Address - Street 1:4951 ARROYO RD
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-9650
Practice Address - Country:US
Practice Address - Phone:702-990-0921
Practice Address - Fax:702-990-0922
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 1950237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter