Provider Demographics
NPI:1851827729
Name:SNYDER, ALEXA BROOKE (MS)
Entity Type:Individual
Prefix:MRS
First Name:ALEXA
Middle Name:BROOKE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10840 NW 13TH CT
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8211
Mailing Address - Country:US
Mailing Address - Phone:954-895-0715
Mailing Address - Fax:
Practice Address - Street 1:4900 S UNIVERSITY DR
Practice Address - Street 2:SUITE 200B
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3808
Practice Address - Country:US
Practice Address - Phone:954-895-0715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3197106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist