Provider Demographics
NPI:1689964918
Name:SNYDER, CRYSTAL (BA OF PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:BA OF PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4111 MILLBROOK RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-9391
Mailing Address - Country:US
Mailing Address - Phone:717-587-3414
Mailing Address - Fax:
Practice Address - Street 1:35 WEST AVE
Practice Address - Street 2:
Practice Address - City:MOUNT CARMEL
Practice Address - State:PA
Practice Address - Zip Code:17851-1303
Practice Address - Country:US
Practice Address - Phone:570-339-4823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor