Provider Demographics
NPI:1558786376
Name:SNYDER, ANDREW (LMFT, CSAC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:SNYDER
Suffix:
Gender:M
Credentials:LMFT, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 235667
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96823-3511
Mailing Address - Country:US
Mailing Address - Phone:808-792-3688
Mailing Address - Fax:808-792-1588
Practice Address - Street 1:1164 BISHOP ST
Practice Address - Street 2:SUITE 1510
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2810
Practice Address - Country:US
Practice Address - Phone:808-792-3688
Practice Address - Fax:808-792-1588
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-362106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist