Provider Demographics
NPI:1285641944
Name:SNYDER, JANET B (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:B
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 REEDER ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-1733
Mailing Address - Country:US
Mailing Address - Phone:610-438-2240
Mailing Address - Fax:610-923-5188
Practice Address - Street 1:2061 FAIRVIEW AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3953
Practice Address - Country:US
Practice Address - Phone:610-438-2240
Practice Address - Fax:610-923-5188
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS009133L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
060056Medicare ID - Type Unspecified
P64482Medicare UPIN