Clements Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S3388 Issued in MS

Legal business name

CLEMENTS SPEECH THERAPY, LLC

Practice address

318 Kendall Ave
McComb, MS 39648-2854

Phone

(601) 600-2633

Fax

(601) 385-1626

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Terri Anne Clements, MS, CCC-SLP

Title

Speech Language Pathologist/Owner

Phone

(601) 248-8077

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terri Anne Clements

  • Speech-Language Pathologist
  • McComb, MS
  • NPI 1083941736
  NPD
• Carol G Dickerson, SLP

  • Speech-Language Pathologist
  • McComb, MS
  • NPI 1528801271
  NPD
• Callie Ann Venable, M.S. CCC-SLP

  • Speech-Language Pathologist
  • McComb, MS
  • NPI 1851173900
  NPD
• Kelsea Mills

  • Occupational Therapist
  • McComb, MS
  • NPI 1437072121
  NPD (past)
• Shelbi Thompson

  • Speech-Language Pathologist
  • McComb, MS
  • NPI 1417805953
  NPD (past)

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1487157624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 WILD EST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396489449",
            "telephone_number": "601-248-8077",
            "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": "1025 Wild Est",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396489449",
            "country_code": "US",
            "telephone_number": "601-248-8077",
            "fax_number": "601-385-1626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEMENTS SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "TERRI ANNE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "601-248-8077",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08423249",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Clark
• Carol Clark, MSW
• Dusti Clark
• Kimeyarus Lasha Clark
• Helen K Clayton, R.N., P.N.P.
• Terri Anne Clements
• Mark Cobb
• Ariel Coleman
• Latoya Coleman, BS
• Samantha B Coleman, MS, LPC, NCC

• 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.