Provider Demographics
NPI:1649729278
Name:STEGALL, APRIL (AUD)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:STEGALL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 N COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-3654
Mailing Address - Country:US
Mailing Address - Phone:870-424-4600
Mailing Address - Fax:870-424-6950
Practice Address - Street 1:2028 W POPLAR AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-0618
Practice Address - Country:US
Practice Address - Phone:901-346-5700
Practice Address - Fax:901-346-5577
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1810237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1810OtherTENNESSEE BOARD OF COMMUNICATION DISORDERS AND SCIENCES