Provider Demographics
NPI:1417289653
Name:SNYDER, JUDITH N (LPC)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:N
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 1:618 4TH AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5575
Mailing Address - Country:US
Mailing Address - Phone:610-295-9857
Mailing Address - Fax:610-769-8096
Practice Address - Street 1:618 4TH AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5575
Practice Address - Country:US
Practice Address - Phone:610-295-9857
Practice Address - Fax:610-769-8096
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005392101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health