Provider Demographics
NPI:1114483666
Name:SNEDIKER, MEREDETH PATRICE (BS)
Entity Type:Individual
Prefix:
First Name:MEREDETH
Middle Name:PATRICE
Last Name:SNEDIKER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 CALDWELL ST
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-1807
Mailing Address - Country:US
Mailing Address - Phone:864-363-0225
Mailing Address - Fax:
Practice Address - Street 1:220 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1244
Practice Address - Country:US
Practice Address - Phone:864-879-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker