Provider Demographics
NPI:1215235841
Name:MCLEOD, WENDY PRESCOTT (MSP,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:PRESCOTT
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:MSP,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 SWAN LAKE DR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-4741
Mailing Address - Country:US
Mailing Address - Phone:803-775-8106
Mailing Address - Fax:
Practice Address - Street 1:30 SWAN LAKE DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-4741
Practice Address - Country:US
Practice Address - Phone:803-775-8106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2905S235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist