Provider Demographics
NPI:1134294010
Name:SNYDER, GEORGE BAIRD JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:BAIRD
Last Name:SNYDER
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:336 LAKESHORE DR E
Mailing Address - Street 2:
Mailing Address - City:LAKE QUIVIRA
Mailing Address - State:KS
Mailing Address - Zip Code:66217-8773
Mailing Address - Country:US
Mailing Address - Phone:913-268-3597
Mailing Address - Fax:913-268-3597
Practice Address - Street 1:5354 LONGVIEW RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64137-2731
Practice Address - Country:US
Practice Address - Phone:816-767-8762
Practice Address - Fax:816-767-8764
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003030739101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor