Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 1660 | CO |
N | 103TC0700X | Clinical Psychologist | 1660 | CO |
Y | 103TS0200X | School Psychologist | 0213535 | CO |
NPI | 1023563814 |
---|---|
Provider Name | Dr. Elsey Mcleod |
First Address | Denver, CO 80231-3360 |
Second Address | Denver, CO 80203-3506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2016 |
Last Update Date | 22/08/2016 |