Provider Demographics
NPI:1790321636
Name:FELDER-SNIPES, QUINNSHAUNA M (EDS, LAMFT)
Entity Type:Individual
Prefix:
First Name:QUINNSHAUNA
Middle Name:M
Last Name:FELDER-SNIPES
Suffix:
Gender:F
Credentials:EDS, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 BERREL AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-2269
Mailing Address - Country:US
Mailing Address - Phone:609-651-1640
Mailing Address - Fax:
Practice Address - Street 1:1 VANDERVEER DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-3113
Practice Address - Country:US
Practice Address - Phone:609-651-1640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FA00012300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health