Provider Demographics
NPI:1033577598
Name:SNYDER, RUTH WESTER (MSCCC-SLP)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:WESTER
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 CARDINAL POINT DRIVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-3599
Mailing Address - Country:US
Mailing Address - Phone:904-737-3556
Mailing Address - Fax:
Practice Address - Street 1:3500 CARDINAL POINT DRIVE
Practice Address - Street 2:SUITE 2
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-3599
Practice Address - Country:US
Practice Address - Phone:904-737-3766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA447235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist