Provider Demographics
NPI:1063674000
Name:SPILIOPOULOS, GENEVIEVE (MS)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:SPILIOPOULOS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 SMITH CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-4913
Mailing Address - Country:US
Mailing Address - Phone:252-535-2597
Mailing Address - Fax:
Practice Address - Street 1:215 SMITH CHURCH RD
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-4913
Practice Address - Country:US
Practice Address - Phone:252-535-2597
Practice Address - Fax:252-535-3947
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2023-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001670231H00000X
NY198869237600000X
NC10102237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter