Provider Demographics
NPI:1427425792
Name:SPRIK, MARIA (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:SPRIK
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 GROUSE CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2871
Mailing Address - Country:US
Mailing Address - Phone:616-821-7983
Mailing Address - Fax:
Practice Address - Street 1:4014 OLEANDER DR
Practice Address - Street 2:SUITE 3B
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6849
Practice Address - Country:US
Practice Address - Phone:910-367-8208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11563235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist