Provider Demographics
NPI:1386660868
Name:SNIDER-COPLEY, SETH ANNE (MA RKT)
Entity Type:Individual
Prefix:MRS
First Name:SETH
Middle Name:ANNE
Last Name:SNIDER-COPLEY
Suffix:
Gender:F
Credentials:MA RKT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 HICKORY CREEK CT
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-3028
Mailing Address - Country:US
Mailing Address - Phone:828-676-0131
Mailing Address - Fax:828-676-0132
Practice Address - Street 1:1200 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1903
Practice Address - Country:US
Practice Address - Phone:828-674-9089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1418103TE1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports