Provider Demographics
NPI:1033202122
Name:SHORTERS, APRIL DYANN (MS)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:DYANN
Last Name:SHORTERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:APRIL
Other - Middle Name:DYANN
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:7903 ELM AVE
Mailing Address - Street 2:APARTMENT 34
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-8954
Mailing Address - Country:US
Mailing Address - Phone:909-486-6107
Mailing Address - Fax:
Practice Address - Street 1:3125 MYERS ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-5527
Practice Address - Country:US
Practice Address - Phone:951-358-3510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86971106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist