Provider Demographics
NPI:1245900596
Name:PADDEN, SYDNEY LOUISE
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:LOUISE
Last Name:PADDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 ALLEN ST APT 5301
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-8690
Mailing Address - Country:US
Mailing Address - Phone:602-616-9159
Mailing Address - Fax:
Practice Address - Street 1:12400 JOSEY LN
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-6419
Practice Address - Country:US
Practice Address - Phone:602-616-9159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118484235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist