Provider Demographics
NPI:1669842365
Name:BADAU, KAREN SNYDER (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SNYDER
Last Name:BADAU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:V
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2243
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03302-2243
Mailing Address - Country:US
Mailing Address - Phone:603-545-4657
Mailing Address - Fax:
Practice Address - Street 1:40 CROSBY SREET
Practice Address - Street 2:CRESTWOOD CENTER
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055
Practice Address - Country:US
Practice Address - Phone:603-673-7061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014338-1103T00000X
NH1211103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist