Provider Demographics
NPI:1033313739
Name:SNYDER, JILL LINDSEY
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:LINDSEY
Last Name:SNYDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5283 AMBLESIDE DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-5442
Mailing Address - Country:US
Mailing Address - Phone:925-286-7022
Mailing Address - Fax:
Practice Address - Street 1:2025 SHERMAN DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3426
Practice Address - Country:US
Practice Address - Phone:925-603-7475
Practice Address - Fax:925-603-7477
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist