Provider Demographics
NPI:1669952396
Name:MCDANIEL, APRIL JOYCE
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:JOYCE
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:JOYCE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1490 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-4700
Mailing Address - Country:US
Mailing Address - Phone:731-798-5055
Mailing Address - Fax:731-968-0400
Practice Address - Street 1:1490 N BROAD ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-4700
Practice Address - Country:US
Practice Address - Phone:731-798-5055
Practice Address - Fax:731-968-0400
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst