Provider Demographics
NPI:1528539160
Name:SPRINGER, ANN SHERMAN (MS CCC, S/LP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:SHERMAN
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:MS CCC, S/LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S SETON AVE
Mailing Address - Street 2:
Mailing Address - City:EMMITSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21727-9235
Mailing Address - Country:US
Mailing Address - Phone:240-236-1750
Mailing Address - Fax:
Practice Address - Street 1:300 S SETON AVE
Practice Address - Street 2:
Practice Address - City:EMMITSBURG
Practice Address - State:MD
Practice Address - Zip Code:21727-9235
Practice Address - Country:US
Practice Address - Phone:240-236-1750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02301235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD541628100Medicaid