Provider Demographics
NPI:1275592669
Name:SNYDER, SUZANNE BUSBEE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:BUSBEE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 RICKENBAKER RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-2152
Mailing Address - Country:US
Mailing Address - Phone:803-234-7999
Mailing Address - Fax:803-771-6685
Practice Address - Street 1:2611 RIVER DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-1749
Practice Address - Country:US
Practice Address - Phone:803-315-0532
Practice Address - Fax:803-771-6685
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3927101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional