Provider Demographics
NPI:1821391012
Name:SNYDER, MICHELLE MARIE (LPCC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:MARIE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 534
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-0534
Mailing Address - Country:US
Mailing Address - Phone:330-343-7400
Mailing Address - Fax:330-343-7414
Practice Address - Street 1:547-1/2 S. JAMES STREET
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44663-2137
Practice Address - Country:US
Practice Address - Phone:330-343-7400
Practice Address - Fax:330-343-7414
Is Sole Proprietor?:No
Enumeration Date:2010-12-10
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0800463101YM0800X
OHE080063101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health