Provider Demographics
NPI:1073874376
Name:SNORTON, ADIA SHARBREETA
Entity Type:Individual
Prefix:
First Name:ADIA
Middle Name:SHARBREETA
Last Name:SNORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 FOXFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-6110
Mailing Address - Country:US
Mailing Address - Phone:270-498-2455
Mailing Address - Fax:
Practice Address - Street 1:630 FOXFIELD RD
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-6110
Practice Address - Country:US
Practice Address - Phone:270-498-2455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency