Provider Demographics
NPI:1255831343
Name:SNYDER, DYLAN (HCP)
Entity Type:Individual
Prefix:MR
First Name:DYLAN
Middle Name:
Last Name:SNYDER
Suffix:
Gender:M
Credentials:HCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1697 OLD HIGHWAY 135 NE
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-2010
Mailing Address - Country:US
Mailing Address - Phone:812-596-4543
Mailing Address - Fax:
Practice Address - Street 1:1697 OLD HIGHWAY 135 NE
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-2010
Practice Address - Country:US
Practice Address - Phone:812-596-4543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001497A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist