Provider Demographics
NPI:1033983903
Name:CATHY SNYDER WELLNESS, LLC
Entity Type:Organization
Organization Name:CATHY SNYDER WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:LDN, CNS
Authorized Official - Phone:203-994-1870
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty