Individual
AMY SUZANNE FOGLE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD CCC-SLP
Contact information
Practice address
505 HOOVER ST S, HAMPTON, SC 29924-2903
(803) 943-9434
(803) 943-9454
Mailing address
PO BOX 784, HAMPTON, SC 29924-0784
(803) 943-9434
(803) 943-9454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3927
SC
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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