Healthcare Provider Details

I. General information

NPI: 1790618635
Provider Name (Legal Business Name): SYDNEY MARKOVICS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 CONCORD LAKE RD
KANNAPOLIS NC
28083-6434
US

IV. Provider business mailing address

103 ALDEN LN
HUNTERSVILLE NC
28078-9309
US

V. Phone/Fax

Practice location:
  • Phone: 704-933-3781
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: