Individual
DR. HEATHER ANN MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
106 BAYVIEW DR, LAURENCE HARBOR, NJ 08879-2823
(908) 688-5215
Mailing address
106 BAYVIEW DR, LAURENCE HARBOR, NJ 08879-2823
(908) 688-5215
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3561
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005094661
AETNA HEALTH CARE
NJ
01
—
22-3571543
CORPORATION ID
NJ
05
—
7479905
—
NJ
Enumeration date
07/19/2006
Last updated
11/10/2020
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