Provider Demographics
NPI:1043476781
Name:SNIDER, JAMIE MAXINE (MSSW)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:MAXINE
Last Name:SNIDER
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 CARTER RD
Mailing Address - Street 2:
Mailing Address - City:FORT BLISS
Mailing Address - State:TX
Mailing Address - Zip Code:79916-6709
Mailing Address - Country:US
Mailing Address - Phone:915-569-8438
Mailing Address - Fax:915-569-5712
Practice Address - Street 1:1008 CARTER RD
Practice Address - Street 2:
Practice Address - City:FORT BLISS
Practice Address - State:TX
Practice Address - Zip Code:79916-6709
Practice Address - Country:US
Practice Address - Phone:915-569-8438
Practice Address - Fax:915-569-5712
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX160541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical