Amy Suzanne Fogle Terry, MCD CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3927 Issued in SC

Practice address

505 Hoover St S
Hampton, SC 29924-2903

Phone

(803) 943-9434

Fax

(803) 943-9454

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1689100448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299240784",
            "telephone_number": "803-943-9434",
            "fax_number": "803-943-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HOOVER ST S",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299242903",
            "telephone_number": "803-943-9434",
            "fax_number": "803-943-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "AMY",
        "middle_name": "SUZANNE FOGLE",
        "credential": "MCD CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Surgery Specialists, LLC
• Bryce Alan Stafford, PHARMD
• Laura Patricia Starks, FNP
• William Asbury Stephens II, PA-C
• Dentresa Taylor, M.A., CCC-SLP
• The Shepherd'S House of Care
• The Shepherd'S House of Tender Care
• Kevin Thompson, PHARMD
• Amy Lois Trader, RPH
• Vega Healthcare Inc.

• All providers in Hampton, SC
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.