Provider Demographics
NPI:1003680950
Name:SNYDER, CATHERINE (LDN, CNS)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LDN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 TAUNTON LAKE DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1528
Mailing Address - Country:US
Mailing Address - Phone:203-994-1870
Mailing Address - Fax:
Practice Address - Street 1:25 TAUNTON LAKE DR
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1528
Practice Address - Country:US
Practice Address - Phone:203-994-1870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001833133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist