Provider Demographics
NPI:1033722624
Name:FLANIGAN SNYDER, REGINA ANN (LCPC)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:ANN
Last Name:FLANIGAN SNYDER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:ANN
Other - Last Name:FLANIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:4076 E HYATT RD
Mailing Address - Street 2:
Mailing Address - City:IJAMSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21754-9500
Mailing Address - Country:US
Mailing Address - Phone:240-409-0042
Mailing Address - Fax:
Practice Address - Street 1:5 N BENTZ ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4913
Practice Address - Country:US
Practice Address - Phone:240-409-0042
Practice Address - Fax:301-631-2937
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1684101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty