Provider Demographics
NPI:1578585840
Name:SNYDER, PEGGY D (PHD)
Entity Type:Individual
Prefix:DR
First Name:PEGGY
Middle Name:D
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 PINE KNOLL DR
Mailing Address - Street 2:UNIT 2
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-2166
Mailing Address - Country:US
Mailing Address - Phone:619-316-2429
Mailing Address - Fax:
Practice Address - Street 1:2100 PINE KNOLL DR
Practice Address - Street 2:UNIT 2
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-2166
Practice Address - Country:US
Practice Address - Phone:619-316-2429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY6344103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist