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NPI Code Detail

MEDICARE: SUMMER MCSPADDEN

MEDICARE: SUMMER MCSPADDEN
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
1235Z00000XSpeech-Language Pathologist201694AR
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1720606338
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER MCSPADDEN
Provider Business Mailing Address
First Line : 218 NELSONVILLE RD
Second Line :
City : SMITHVILLE
State : AR
Zip : 72466-8372
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 711 N MAIN ST
Second Line :
City : CAVE CITY
State : AR
Zip : 72521-9103
Country : US
Telephone Number : 870-278-4131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2020
Last Update Date : 03/23/2026

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Directions to “ SUMMER MCSPADDEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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