Provider Demographics
NPI:1063240877
Name:MCCLOY, HOLLY S (MA, NCC)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:S
Last Name:MCCLOY
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 MORLATT LN
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25404-7613
Mailing Address - Country:US
Mailing Address - Phone:304-261-4774
Mailing Address - Fax:
Practice Address - Street 1:232 MORLATT LN
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-7613
Practice Address - Country:US
Practice Address - Phone:304-261-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency