Healthcare Provider Details

I. General information

NPI: 1447624697
Provider Name (Legal Business Name): APRIL TAPPER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2015
Last Update Date: 11/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2630 W 13TH ST
ASHTABULA OH
44004-2405
US

IV. Provider business mailing address

2630 W. 13TH ST.
ASHTABULA OH
44004
US

V. Phone/Fax

Practice location:
  • Phone: 440-969-5660
  • Fax:
Mailing address:
  • Phone: 440-969-5660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberOH1468292
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: