Provider Demographics
NPI:1790027720
Name:SNYDER, MICHELLE M (MA LPC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:M
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 SADDLEBROOK PASS
Mailing Address - Street 2:
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-9040
Mailing Address - Country:US
Mailing Address - Phone:952-855-3897
Mailing Address - Fax:
Practice Address - Street 1:940 SADDLEBROOK PASS
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-9040
Practice Address - Country:US
Practice Address - Phone:952-855-3897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-16
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1173101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health