Provider Demographics
NPI:1851555346
Name:APPLEBY, ANNE MARIE (MS/CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:APPLEBY
Suffix:
Gender:F
Credentials:MS/CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 MEADOW RD
Mailing Address - Street 2:APT 513
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76109
Mailing Address - Country:US
Mailing Address - Phone:252-722-5128
Mailing Address - Fax:
Practice Address - Street 1:3901 MEADOW RD
Practice Address - Street 2:APT 513
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76109-5736
Practice Address - Country:US
Practice Address - Phone:252-722-5128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2568235Z00000X
TX107828235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1851555346Medicaid
NC2568OtherNC LICENSE