MCLEOD GWYNETTE MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Child & Adolescent Psychiatry
Provider Information
- NPI Number
1750477881- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1541 KINGS HWY, SHREVEPORT, LA, 711034228
- Phone
- (318) 626-0000
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
License: SC #TL29219
Psychiatry & Neurology, Psychiatry
License: LA #346503
Psychiatry & Neurology, Child & Adolescent Psychiatry
Primary License: LA #346503
All Addresses
MAILING
1541 KINGS HWY
SHREVEPORT, LA, 711034228