MEDICARE: DR. ANN MCDANIEL PSYD LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH3440	FL

General Provider Information

NPI Number	:	1679562086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN MCDANIEL PSYD LMHC

Provider Business Mailing Address
First Line	:	452 OSCEOLA ST
Second Line	:	SUITE 106
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-7817
Country	:	US
Telephone Number	:	407-265-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	452 OSCEOLA ST
Second Line	:	SUITE 106
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-7817
Country	:	US
Telephone Number	:	407-265-6100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	07/08/2007

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