Provider Demographics
NPI:1437524436
Name:SNYDER, KRISTIN (MSW,LGSW)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MSW,LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 CLEARVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-6748
Mailing Address - Country:US
Mailing Address - Phone:304-280-5885
Mailing Address - Fax:
Practice Address - Street 1:364 CLEARVIEW AVE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-6748
Practice Address - Country:US
Practice Address - Phone:304-280-5885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV101YM0800X,Medicaid