Provider Demographics
NPI:1659316081
Name:SPRADLIN, KATHERINE BOYER (LMSW-ACP)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:BOYER
Last Name:SPRADLIN
Suffix:
Gender:F
Credentials:LMSW-ACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4277 ROYAL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-5461
Mailing Address - Country:US
Mailing Address - Phone:214-357-5610
Mailing Address - Fax:214-357-4249
Practice Address - Street 1:10 MEDICAL PKWY
Practice Address - Street 2:LAZA 3, SUITE 303
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7840
Practice Address - Country:US
Practice Address - Phone:972-243-1159
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003551041C0700X
TX2171106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist