ANGELA JEAN SPECK (NPI# 1265976401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265976401 |
| Entity Type | Individual |
| Full Name | ANGELA JEAN SPECK |
| Credential | M.ED, ED.S. |
| Practice Address |
1825 W City Dr Suites A & B Elizabeth City NC 27909-9675 |
| Practice Telephone | 2523385658 |
| Practice Fax Number | 2523380879 |
| Mailing Telephone | 2523385658 |
| Mailing Fax Number | 2523380879 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
5138 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1825 W CITY DR SUITES A & B |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-9675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987771 | Jennifer Nicole Alexander | Social Worker | 1825 W City Dr, Suite A, Elizabeth City, NC 27909-9675 | 2005-07-29 |
| 1063931277 | Robert Wooten | Hearing Instrument Specialist | 1825 W City Dr, Elizabeth City, NC 27909-9675 | 2017-09-19 |
| 1376996215 | Cnc / Access, Inc. | Home Health | 1825 W City Dr, Suite E, Elizabeth City, NC 27909-9675 | 2016-07-15 |
| 1609249820 | Courtney Cromer | Hearing Instrument Specialist | 1825 W City Dr, Suite C, Elizabeth City, NC 27909-9675 | 2015-11-10 |
| 1588670699 | William Clement Bowens | Specialist | 1825 W City Dr, Suite F, Elizabeth City, NC 27909-9675 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831639 | Elizabeth A Derouin | Psychologist | 422 W 9th St, Newton, NC 28658-3819 | 2020-05-05 |
| 1497397673 | Sheltia Powell | Psychologist | 1400 E Cornwallis Rd, Durham, NC 27713-3457 | 2019-10-09 |
| 1154796480 | Kerri Wright | Psychologist | 7206 Courtney Pines Rd, Wilmington, NC 28411-7076 | 2015-12-11 |
| 1780053223 | Susan Lynn Moschos | Psychologist | 249 Tobacco Farm Way, Chapel Hill, NC 27516-8420 | 2015-09-15 |
| 1720454549 | Jessica Boisjoli Leboeuf | Psychologist | 824 Historian St, Raleigh, NC 27603-3489 | 2015-08-16 |
| 1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
| 1740543032 | Bindiya Shajith | Psychologist | 300 Asheville Ave, Suite # 240, Cary, NC 27518-8682 | 2012-06-21 |
| 1144589623 | Lara E. Gerrard, Ma, Lpa Psychoeducational Evaluations | Psychologist | 668 N Spence Ave, Goldsboro, NC 27534-4233 | 2012-05-03 |
| 1295003002 | Linda Peer Fleming | Psychologist | 108-d West Firetower Rd., Teacch South Hall Professional Center, Winterville, NC 28590 | 2011-12-07 |
| 1508165986 | The G.l.u. Club, LLC | Psychologist | 9156 Eventine Ct, Charlotte, NC 28214-9323 | 2011-03-24 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on ANGELA JEAN SPECK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.