Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Douglass, MCD, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1922753599

Amy Douglass, MCD, CCC-SLP is a Speech-Language Pathologist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

4201 Lake Boone Trl Ste 4
Raleigh, NC 27607-7511
Phone: (919) 781-4434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2108201 (NC)

Record details

NPI number1922753599
Entity typeIndividual (Type 1)
GenderFemale
Credentials MCD , CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 13, 2022
Last updated in NPPESFebruary 13, 2022
Certification dateFebruary 13, 2022

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