Healthcare Provider Details

I. General information

NPI: 1720606338
Provider Name (Legal Business Name): SUMMER MCSPADDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 N MAIN ST
CAVE CITY AR
72521-9103
US

IV. Provider business mailing address

218 NELSONVILLE RD
SMITHVILLE AR
72466-8372
US

V. Phone/Fax

Practice location:
  • Phone: 870-278-4131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number201694
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: