Provider Demographics
NPI:1376986380
Name:MORRELL, APRIL SHEPHERD (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:SHEPHERD
Last Name:MORRELL
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 TEXAS AVE
Mailing Address - Street 2:
Mailing Address - City:WHITESBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41858-7764
Mailing Address - Country:US
Mailing Address - Phone:606-335-1422
Mailing Address - Fax:
Practice Address - Street 1:187 TEXAS AVE
Practice Address - Street 2:
Practice Address - City:WHITESBURG
Practice Address - State:KY
Practice Address - Zip Code:41858-7764
Practice Address - Country:US
Practice Address - Phone:606-335-1422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-2939314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility