Gwynette, Mcleod

Gwynette, Mcleod is an individual health care provider with primary practice located at 1541 Kings Hwy , Shreveport LA 71103-4228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Gwynette, Mcleod can be contacted via phone (318) 626-0000.

Contact Information

Primary practice address
1541 Kings Hwy Shreveport LA 71103-4228
Phone: (318) 626-0000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X TL29219 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 346503 Louisiana
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 346503 Louisiana

Profile Details

NPI number 1750477881
LBN Legal business name Gwynette, Mcleod
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 23rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750477881 NPPES
South Carolina MEDICAID 292196

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