Provider Demographics
NPI:1679562086
Name:MCDANIEL, ANN (PSYD LMHC)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:PSYD LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 OSCEOLA ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-7817
Mailing Address - Country:US
Mailing Address - Phone:407-265-6100
Mailing Address - Fax:
Practice Address - Street 1:452 OSCEOLA ST
Practice Address - Street 2:SUITE 106
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-7817
Practice Address - Country:US
Practice Address - Phone:407-265-6100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3440101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health