Provider Demographics
NPI:1609175793
Name:MCKEE, AMY SUSAN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:SUSAN
Last Name:MCKEE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 SUMMIT AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:BROWNS SUMMIT
Mailing Address - State:NC
Mailing Address - Zip Code:27214-9859
Mailing Address - Country:US
Mailing Address - Phone:336-217-5120
Mailing Address - Fax:336-217-5127
Practice Address - Street 1:5900 SUMMIT AVE STE 103
Practice Address - Street 2:
Practice Address - City:BROWNS SUMMIT
Practice Address - State:NC
Practice Address - Zip Code:27214-9859
Practice Address - Country:US
Practice Address - Phone:336-217-5120
Practice Address - Fax:336-217-5127
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9326235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist