Provider Demographics
NPI:1932543709
Name:ARD, AMY MCCLARY (MCD)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MCCLARY
Last Name:ARD
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N ACADEMY ST BLDG A
Mailing Address - Street 2:
Mailing Address - City:KINGSTREE
Mailing Address - State:SC
Mailing Address - Zip Code:29556-3408
Mailing Address - Country:US
Mailing Address - Phone:843-355-5533
Mailing Address - Fax:
Practice Address - Street 1:500 N ACADEMY ST BLDG A
Practice Address - Street 2:
Practice Address - City:KINGSTREE
Practice Address - State:SC
Practice Address - Zip Code:29556-3408
Practice Address - Country:US
Practice Address - Phone:843-355-5533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist