Provider Demographics
NPI:1932882420
Name:MAZEIKA, SARAH JUNE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JUNE
Last Name:MAZEIKA
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4615 MERENDINO ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-1755
Mailing Address - Country:US
Mailing Address - Phone:570-441-9232
Mailing Address - Fax:
Practice Address - Street 1:8733 HOLLY SPRINGS RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539-9194
Practice Address - Country:US
Practice Address - Phone:919-981-6588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30002088235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist