Provider Demographics
NPI:1710032040
Name:SNITCHLER, LOWELL L
Entity Type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:L
Last Name:SNITCHLER
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:LOWELL
Other - Middle Name:L
Other - Last Name:SNITCHLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2055 W CHARLESTON BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2257
Mailing Address - Country:US
Mailing Address - Phone:702-933-6701
Mailing Address - Fax:
Practice Address - Street 1:2055 W CHARLESTON BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2257
Practice Address - Country:US
Practice Address - Phone:702-933-6701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0412103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical