Provider Demographics
NPI:1003217688
Name:SNYDER, TERRI (LPC)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:LEE
Other - Last Name:WINCHOCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:811 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-4844
Mailing Address - Country:US
Mailing Address - Phone:610-696-0325
Mailing Address - Fax:610-696-4808
Practice Address - Street 1:811 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4844
Practice Address - Country:US
Practice Address - Phone:610-696-0325
Practice Address - Fax:610-696-4808
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004877101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional