Angela Jean Speck, M.ED, ED.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5138 Issued in NC

Practice address

1129 Horseshoe Rd
Elizabeth City, NC 27909-8507

Phone

(252) 335-2018

NPI assigned

Dec 7, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1265976401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LITTLE RIVER DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099108",
            "telephone_number": "252-362-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 HORSESHOE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098507",
            "telephone_number": "252-335-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECK",
        "first_name": "ANGELA",
        "middle_name": "JEAN",
        "credential": "M.ED, ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor G. Sonnino, M.D.
• Natalya Sorlien, MS, LMFTA
• Sound Physicians of North Carolina, PLLC
• Southern Assisted Living, LLC. (Brookdale Elizabeth City)
• Harrison Spalding, DPT
• Waynette Twiford Speight, RN,BSN,CDE
• Nakesha Danielle Spellman
• /Deborah Burnett Spence, MA, LPC
• Trista Taelor Spencer
• Deontrae Spruill

• Psychologist in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.