Provider Demographics
NPI:1902035546
Name:POYNOR, APRIL
Entity Type:Individual
Prefix:MISS
First Name:APRIL
Middle Name:
Last Name:POYNOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 294729
Mailing Address - Street 2:
Mailing Address - City:PHELAN
Mailing Address - State:CA
Mailing Address - Zip Code:92329-4729
Mailing Address - Country:US
Mailing Address - Phone:909-994-5266
Mailing Address - Fax:
Practice Address - Street 1:40015 SIERRA HWY STE B150
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-2149
Practice Address - Country:US
Practice Address - Phone:626-765-0151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-03
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82578106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist