Provider Demographics
NPI:1588697577
Name:CONDON, APRIL DAWN (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:DAWN
Last Name:CONDON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 N 300 E
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-9520
Mailing Address - Country:US
Mailing Address - Phone:765-378-3534
Mailing Address - Fax:
Practice Address - Street 1:1613 W RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47306-9520
Practice Address - Country:US
Practice Address - Phone:765-285-4422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22002004A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist