Provider Demographics
NPI:1609050335
Name:SNYDER, ALLISON J (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:J
Last Name:SNYDER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1420
Mailing Address - Country:US
Mailing Address - Phone:585-313-5023
Mailing Address - Fax:
Practice Address - Street 1:440 CLIFTON SPRINGS PROFESSIONAL PARK
Practice Address - Street 2:
Practice Address - City:CLIFTON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14432-1037
Practice Address - Country:US
Practice Address - Phone:315-462-3588
Practice Address - Fax:315-462-6590
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017795235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist