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NPI Code Detail

MEDICARE: SARAH JUNE MAZEIKA M.S. CCC-SLP

MEDICARE: SARAH JUNE MAZEIKA M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist30002088NC

General Provider Information

NPI Number : 1932882420
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH JUNE MAZEIKA M.S. CCC-SLP
Provider Business Mailing Address
First Line : 4615 MERENDINO ST
Second Line :
City : RALEIGH
State : NC
Zip : 27606-1755
Country : US
Telephone Number : 570-441-9232
Fax Number :
Provider Business Practice Location Address
First Line : 8733 HOLLY SPRINGS RD
Second Line :
City : APEX
State : NC
Zip : 27539-9194
Country : US
Telephone Number : 919-981-6588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2023
Last Update Date : 08/10/2023

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Directions to “ SARAH JUNE MAZEIKA M.S. CCC-SLP” Practice Location

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