NPI Code Details Logo

NPI 1740137967

NPI 1740137967 : ANNA KATHERINE POMEROY CCC-SLP : THOMASVILLE, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1740137967
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANNA KATHERINE POMEROY CCC-SLP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/16/2026
-----------------------------------------------------
    Last Update Date     |    03/16/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    320 N CRAWFORD ST 
-----------------------------------------------------
    City                 |    THOMASVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31792-5125
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    229-236-0260
-----------------------------------------------------
    Fax                  |    229-236-0263
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    106 SCOTTSDALE CV 
-----------------------------------------------------
    City                 |    THOMASVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31757-4043
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    229-977-5419
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    SLP013925
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.