Provider Demographics
NPI:1326683541
Name:SNYDER, SYDNEY (MS, LPC, SAC-IT)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MS, LPC, SAC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 N PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-3017
Mailing Address - Country:US
Mailing Address - Phone:414-212-5282
Mailing Address - Fax:414-332-2368
Practice Address - Street 1:1429 N PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-3017
Practice Address - Country:US
Practice Address - Phone:414-212-5282
Practice Address - Fax:414-332-2368
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-12
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI19016-130101YA0400X
WI10202-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)