Healthcare Provider Details

I. General information

NPI: 1922942366
Provider Name (Legal Business Name): LEXIE SPRADLING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SCHOOL AVE NE
NORTH CANTON OH
44720-6234
US

IV. Provider business mailing address

552512TH ST NW
CANTON OH
44708
US

V. Phone/Fax

Practice location:
  • Phone: 330-805-6609
  • Fax:
Mailing address:
  • Phone: 330-805-6609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.00525
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: