Provider Demographics
NPI:1457732273
Name:PENCE, ANN-MARIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANN-MARIE
Middle Name:
Last Name:PENCE
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 1:3550 PARKWOOD BLVD STE 704
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1920
Mailing Address - Country:US
Mailing Address - Phone:214-618-9341
Mailing Address - Fax:
Practice Address - Street 1:907 W SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4049
Practice Address - Country:US
Practice Address - Phone:940-565-2262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-17
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106511235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist