Provider Demographics
NPI:1326766619
Name:PADEN, DEVYN NICOLE (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:DEVYN
Middle Name:NICOLE
Last Name:PADEN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:DEVYN
Other - Middle Name:NICOLE
Other - Last Name:CHRONISTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:371 N CLOUDY LOOP APT B
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:AR
Mailing Address - Zip Code:72730-4028
Mailing Address - Country:US
Mailing Address - Phone:479-461-8466
Mailing Address - Fax:
Practice Address - Street 1:804 W JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-4159
Practice Address - Country:US
Practice Address - Phone:479-750-8804
Practice Address - Fax:479-750-8813
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist