Provider Demographics
NPI:1871969030
Name:HYATT, APRIL (MSAP, SSP)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:HYATT
Suffix:
Gender:F
Credentials:MSAP, SSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-4002
Mailing Address - Country:US
Mailing Address - Phone:843-439-3568
Mailing Address - Fax:
Practice Address - Street 1:122 BROAD ST
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-4002
Practice Address - Country:US
Practice Address - Phone:843-439-3568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC265973103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool