Provider Demographics
NPI:1750867990
Name:SNIDER, COURTNEY (AUD)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:SNIDER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 HOSPITAL DR STE 310
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-1978
Mailing Address - Country:US
Mailing Address - Phone:513-624-2450
Mailing Address - Fax:513-624-2451
Practice Address - Street 1:2055 HOSPITAL DR STE 310
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-1978
Practice Address - Country:US
Practice Address - Phone:513-624-2450
Practice Address - Fax:513-624-2451
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY242265231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist