Individual
MRS. AMANDA BARCLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC
Contact information
Practice address
44 COTTAGE DR, MURRELLS INLET, SC 29576-7877
(843) 936-0020
Mailing address
10517 OCEAN HIGHWAY UNIT 4 PMB 111, PAWLEYS ISL, SC 29585-7655
(843) 936-0020
(855) 718-2654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
13639
CA
235Z00000X
Speech-Language Pathologist
Primary
6188
SC
235Z00000X
Speech-Language Pathologist
7719
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL809B
PTAN
CA
Enumeration date
08/04/2010
Last updated
01/31/2024
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