Provider Demographics
NPI:1790047389
Name:SNYDER, TAMARA MILLICENT (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:MILLICENT
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20031 W LAKE HOUSTON PKWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3432
Mailing Address - Country:US
Mailing Address - Phone:832-233-3086
Mailing Address - Fax:832-201-8229
Practice Address - Street 1:20031 W LAKE HOUSTON PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77346-3432
Practice Address - Country:US
Practice Address - Phone:832-233-3086
Practice Address - Fax:832-201-8229
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66888101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional