Provider Demographics
NPI:1689226227
Name:SNOOK, GREGORY JASON (MA, NCC, LPC)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:JASON
Last Name:SNOOK
Suffix:
Gender:M
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 IRONWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-2726
Mailing Address - Country:US
Mailing Address - Phone:215-478-1556
Mailing Address - Fax:
Practice Address - Street 1:606 CORPORATE DR W
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-8013
Practice Address - Country:US
Practice Address - Phone:267-352-3730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-14
Last Update Date:2019-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011460101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional