Provider Demographics
NPI:1558623660
Name:MCLEOD, CRAIG DAVID (SPED)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:DAVID
Last Name:MCLEOD
Suffix:
Gender:M
Credentials:SPED
Other - Prefix:MR
Other - First Name:CRAIG
Other - Middle Name:DAVID
Other - Last Name:MCLEOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPED
Mailing Address - Street 1:19 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-2309
Mailing Address - Country:US
Mailing Address - Phone:203-858-0836
Mailing Address - Fax:
Practice Address - Street 1:20 CEDAR ST
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5247
Practice Address - Country:US
Practice Address - Phone:914-576-5292
Practice Address - Fax:914-576-3983
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYSPED174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist