Provider Demographics
NPI:1083832570
Name:SEATON, CINDY K (MS SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:K
Last Name:SEATON
Suffix:
Gender:F
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 S POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-5980
Mailing Address - Country:US
Mailing Address - Phone:870-536-0266
Mailing Address - Fax:870-536-0266
Practice Address - Street 1:400 GANDY AVE
Practice Address - Street 2:
Practice Address - City:WHITE HALL
Practice Address - State:AR
Practice Address - Zip Code:71602-3242
Practice Address - Country:US
Practice Address - Phone:870-247-4054
Practice Address - Fax:870-247-4059
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#1839235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist