MEDICARE: MRS. KATHERINE BOYER SPRADLIN LMSW-ACP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	00355	TX
2	106H00000X	Marriage & Family Therapist	2171	TX

General Provider Information

NPI Number	:	1659316081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE BOYER SPRADLIN LMSW-ACP

Provider Business Mailing Address
First Line	:	4277 ROYAL RIDGE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-5461
Country	:	US
Telephone Number	:	214-357-5610
Fax Number	:	214-357-4249

Provider Business Practice Location Address
First Line	:	10 MEDICAL PKWY
Second Line	:	LAZA 3, SUITE 303
City	:	DALLAS
State	:	TX
Zip	:	75234-7840
Country	:	US
Telephone Number	:	972-243-1159
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	09/11/2025

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Directions to “ MRS. KATHERINE BOYER SPRADLIN LMSW-ACP” Practice Location

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