Provider Demographics
NPI:1437521796
Name:J SNYDER THERAPEUTIC SERVICES
Entity Type:Organization
Organization Name:J SNYDER THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER, PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:215-767-7096
Mailing Address - Street 1:1238 DICKERSON ROAD
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454
Mailing Address - Country:US
Mailing Address - Phone:215-767-7096
Mailing Address - Fax:215-362-4729
Practice Address - Street 1:806 BETHLEHEM PIKE
Practice Address - Street 2:2 A
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-1501
Practice Address - Country:US
Practice Address - Phone:215-767-7096
Practice Address - Fax:215-362-4729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006289101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty