Healthcare Provider Details

I. General information

NPI: 1679562086
Provider Name (Legal Business Name): ANN MCDANIEL PSYD LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

452 OSCEOLA ST SUITE 106
ALTAMONTE SPRINGS FL
32701-7817
US

IV. Provider business mailing address

452 OSCEOLA ST SUITE 106
ALTAMONTE SPRINGS FL
32701-7817
US

V. Phone/Fax

Practice location:
  • Phone: 407-265-6100
  • Fax:
Mailing address:
  • Phone: 407-265-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH3440
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: