Provider Demographics
NPI:1841380250
Name:SNYDER, MELISSA YUKI (PHD, LMFT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:YUKI
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PHD, LMFT
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 4156
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92263-4156
Mailing Address - Country:US
Mailing Address - Phone:760-567-5259
Mailing Address - Fax:760-406-4078
Practice Address - Street 1:74075 EL PASEO
Practice Address - Street 2:SUITE C2
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260
Practice Address - Country:US
Practice Address - Phone:760-567-5259
Practice Address - Fax:760-406-4078
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29206103T00000X
CA41157106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33BG7WOtherDPSS MEDI-CAL
CA33BGHWOtherMHP MEDI-CAL