Provider Demographics
NPI:1700326915
Name:SELMAN, ANN TURNER (SLP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:TURNER
Last Name:SELMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:TURNER
Other - Last Name:PENTECOST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2416 HIGHWAY 45 N
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-1320
Mailing Address - Country:US
Mailing Address - Phone:662-327-6705
Mailing Address - Fax:662-327-6760
Practice Address - Street 1:1201 HIGHWAY 49 S
Practice Address - Street 2:SUITE 2
Practice Address - City:RICHLAND
Practice Address - State:MS
Practice Address - Zip Code:39218-9425
Practice Address - Country:US
Practice Address - Phone:769-233-8844
Practice Address - Fax:769-251-1825
Is Sole Proprietor?:No
Enumeration Date:2017-03-07
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS53789235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist