Provider Demographics
NPI:1043844731
Name:SNYDER, ALLISON (MSCCC/SLP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
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 1:1053 DENSTON DR
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-4038
Mailing Address - Country:US
Mailing Address - Phone:215-680-7275
Mailing Address - Fax:
Practice Address - Street 1:1053 DENSTON DR
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-4038
Practice Address - Country:US
Practice Address - Phone:215-680-7275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008511235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty