Provider Demographics
NPI:1477781482
Name:DANIEL, APRIL LYNNE (MA)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:LYNNE
Last Name:DANIEL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:LYNNE
Other - Last Name:REEMTSMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1501 KINGS HWY
Mailing Address - Street 2:DEPT. OF OTOLARYNGOLOGY
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71103-4228
Mailing Address - Country:US
Mailing Address - Phone:318-813-2698
Mailing Address - Fax:318-813-2709
Practice Address - Street 1:1501 KINGS HWY
Practice Address - Street 2:DEPT. OF OTOLARYNGOLOGY
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-4228
Practice Address - Country:US
Practice Address - Phone:318-813-2698
Practice Address - Fax:318-813-2709
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4256237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter