Provider Demographics
NPI:1568511905
Name:MCCLANAHAN, ANN MARGARET (SLP)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MARGARET
Last Name:MCCLANAHAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 TURNBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-5862
Mailing Address - Country:US
Mailing Address - Phone:919-260-8438
Mailing Address - Fax:888-401-0837
Practice Address - Street 1:1140 TURNBRIDGE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-5862
Practice Address - Country:US
Practice Address - Phone:919-260-8438
Practice Address - Fax:888-401-0837
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC720132BMedicaid
NC346541Medicare ID - Type Unspecified