Individual
MS. ANGELA D MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD,CCC-SLP
Contact information
Practice address
220 HASEL ST, SUMTER, SC 29150-4506
(803) 774-5500
(803) 774-5500
Mailing address
630 SHIPWATCH DR., SUMTER, SC 29154-6087
(803) 464-5850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3891
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12086768
ASHA
—
01
—
3891
SC LICENSURE
SC
05
—
SA0742
—
SC
Enumeration date
09/26/2006
Last updated
07/21/2022
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