Provider Demographics
NPI:1770610461
Name:SPEER, SYDNOR M (LPC)
Entity type:Individual
Prefix:
First Name:SYDNOR
Middle Name:M
Last Name:SPEER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18373
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28814-0373
Mailing Address - Country:US
Mailing Address - Phone:828-230-8687
Mailing Address - Fax:828-505-1040
Practice Address - Street 1:100 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2419
Practice Address - Country:US
Practice Address - Phone:828-230-8687
Practice Address - Fax:828-505-8687
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPC2440101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102070Medicaid
NC13280OtherBCBS