Lesley Shannon Selman, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3366 Issued in AL

Practice address

3630 Northbrook Dr
Suite D
Northport, AL 35473-5822

Phone

(205) 246-9345

NPI assigned

Dec 7, 2015

Last updated

Dec 7, 2015By the provider in NPPES

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

Credentials

Master of Science

State licenses

Practice roles

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

• Providence Speech & Language Services LLC

  • Speech-Language Pathologist
  • Northport, AL
  • NPI 1841644812
  NPD (past) Authorized official

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1285009860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12151 AUTUMN LEAVES TRL",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354738561",
            "telephone_number": "205-246-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 NORTHBROOK DR",
            "address_2": "SUITE D",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735822",
            "telephone_number": "205-246-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELMAN",
        "first_name": "LESLEY",
        "middle_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison G Sanford, LPTA
• Sarah Tarnakow Counseling and Consulting, LLC
• Kaci Savage, ALC
• Margaret Mary Scalise, M.D.
• Virginia Lee Scott-Adams, PSY.D.
• Senior Care Pharmacy Inc
• Tammy Renee Shackelford, MMP
• Robert Grover Shamblin, DVM
• Takesha Monique Shannon, LPC
• Sarah Grace Sherbert, PT

• Speech-Language Pathologist in Northport, AL
• Providers in Northport, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.