Provider Demographics
NPI:1215355318
Name:MCMILLIN, APRIL JO (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:JO
Last Name:MCMILLIN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 APPLE TREE CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-1157
Mailing Address - Country:US
Mailing Address - Phone:501-590-4946
Mailing Address - Fax:
Practice Address - Street 1:39 APPLE TREE CIR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72118-1157
Practice Address - Country:US
Practice Address - Phone:501-590-4946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-04
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3434235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist