Terri Anne Clements

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SO388 Issued in MS

Practice address

318 Kendall Ave
McComb, MS 39648-2854

Phone

(601) 600-2633

Fax

(601) 385-1626

NPI assigned

Nov 17, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clements Speech Therapy, LLC

  • Speech-Language Pathologist
  • McComb, MS
  • NPI 1487157624
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1083941736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 KENDALL AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482854",
            "telephone_number": "601-600-2633",
            "fax_number": "601-385-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 KENDALL AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482854",
            "telephone_number": "601-600-2633",
            "fax_number": "601-385-1626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4109 Highway 98 W",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "MS",
            "postal_code": "396669132",
            "country_code": "US",
            "telephone_number": "601-276-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "TERRI",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "SO388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Clark, MSW
• Dusti Clark
• Kimeyarus Lasha Clark
• Helen K Clayton, R.N., P.N.P.
• Clements Speech Therapy, LLC
• Mark Cobb
• Ariel Coleman
• Latoya Coleman, BS
• Samantha B Coleman, MS, LPC, NCC
• Verletta Coleman, PCMHT

• Speech-Language Pathologist in McComb, MS
• Providers in McComb, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.