Provider Demographics
NPI:1205468790
Name:HINKLE, APRIL DENISE
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:DENISE
Last Name:HINKLE
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 1:1411 S WATERTOWER LN
Mailing Address - Street 2:
Mailing Address - City:CADDO
Mailing Address - State:OK
Mailing Address - Zip Code:74729-5413
Mailing Address - Country:US
Mailing Address - Phone:580-380-2852
Mailing Address - Fax:
Practice Address - Street 1:1411 S WATERTOWER LN
Practice Address - Street 2:
Practice Address - City:CADDO
Practice Address - State:OK
Practice Address - Zip Code:74729-5413
Practice Address - Country:US
Practice Address - Phone:580-380-2852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKH083424064106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician