Provider Demographics
NPI:1265649248
Name:SNYDER, GINA MARIE (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9123 W PHILLIPS DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-8120
Mailing Address - Country:US
Mailing Address - Phone:303-979-3977
Mailing Address - Fax:
Practice Address - Street 1:7850 VANCE DR STE 195
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2132
Practice Address - Country:US
Practice Address - Phone:303-432-3601
Practice Address - Fax:303-432-3623
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO361231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist