Provider Demographics
NPI:1437942612
Name:SPRADLING, ADDISON LEIGH
Entity type:Individual
Prefix:
First Name:ADDISON
Middle Name:LEIGH
Last Name:SPRADLING
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 1:27008 RANCH ROAD 12 UNIT A
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-4880
Mailing Address - Country:US
Mailing Address - Phone:432-413-7383
Mailing Address - Fax:432-413-7383
Practice Address - Street 1:27008 RANCH ROAD 12 UNIT A
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4880
Practice Address - Country:US
Practice Address - Phone:432-413-7383
Practice Address - Fax:432-413-7383
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122007235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist