Individual
LESLIE MCDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2121 OLD GATESBURG RD, STE 100, STATE COLLEGE, PA 16803-2290
(814) 231-6868
(814) 231-1581
Mailing address
2121 OLD GATESBURG RD STE 100, STATE COLLEGE, PA 16803-2290
(814) 231-6868
(814) 231-1581
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
C0796
KY
2084N0400X
Neurology Physician
34C.000027
OH
2084N0400X
Neurology Physician
Primary
84411
GA
2084N0400X
Neurology Physician
C0796
KY
2084N0400X
Neurology Physician
OS016562
PA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
34C.000027
OH
2084N0600X
Clinical Neurophysiology Physician
C0796
KY
2084N0600X
Clinical Neurophysiology Physician
OS016562
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026463
—
OH
Enumeration date
07/23/2008
Last updated
03/03/2026
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