Provider Demographics
NPI:1528282738
Name:ULMER, ANN STRICKLAND (PHD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:STRICKLAND
Last Name:ULMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2032 ROCKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:MS
Mailing Address - Zip Code:39045-9683
Mailing Address - Country:US
Mailing Address - Phone:662-468-3491
Mailing Address - Fax:
Practice Address - Street 1:529 S PEAR ORCHARD RD
Practice Address - Street 2:SUITE D
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-4235
Practice Address - Country:US
Practice Address - Phone:601-856-6898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS33529103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist