Provider Demographics
NPI:1801052816
Name:MCCARTHY, LEIGH (AUD)
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:
Other - Last Name:MCLEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25480 POINT LOOKOUT RD
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-3801
Mailing Address - Country:US
Mailing Address - Phone:240-434-4040
Mailing Address - Fax:240-434-4039
Practice Address - Street 1:25480 POINT LOOKOUT RD
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-3801
Practice Address - Country:US
Practice Address - Phone:301-997-0909
Practice Address - Fax:301-997-0919
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001145231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist