Provider Demographics
NPI:1073893350
Name:SNOW, HELEN MICHELLE (MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:MICHELLE
Last Name:SNOW
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 COASTAL HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32327-4884
Mailing Address - Country:US
Mailing Address - Phone:850-926-7627
Mailing Address - Fax:850-926-7627
Practice Address - Street 1:3102 COASTAL HIGHWAY
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-4884
Practice Address - Country:US
Practice Address - Phone:850-926-7627
Practice Address - Fax:850-926-7627
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
09557225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist