Provider Demographics
NPI:1326227810
Name:SNOW, ANDREA LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:LYNN
Last Name:SNOW
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:207 OSBAND HALL BOX 870315
Mailing Address - Street 2:UNIVERSITY OF ALABAMA, CTR FOR MENT HLTH & AGING
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35487-0001
Mailing Address - Country:US
Mailing Address - Phone:205-348-7518
Mailing Address - Fax:205-348-7520
Practice Address - Street 1:3701 LOOP RD
Practice Address - Street 2:TUSCALOOSA VA MEDICAL CENTER, RESEARCH SERVICE (151)
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404-5015
Practice Address - Country:US
Practice Address - Phone:205-554-2000
Practice Address - Fax:205-554-2877
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
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Provider Licenses
StateLicense IDTaxonomies
TX31773103TA0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging