Provider Demographics
NPI:1871230797
Name:CHRISTINE M SNYDER LCSW LLC
Entity Type:Organization
Organization Name:CHRISTINE M SNYDER LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-248-5552
Mailing Address - Street 1:114 HORIZON DR
Mailing Address - Street 2:
Mailing Address - City:BOONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07005-1627
Mailing Address - Country:US
Mailing Address - Phone:201-248-5552
Mailing Address - Fax:
Practice Address - Street 1:114 HORIZON DR
Practice Address - Street 2:
Practice Address - City:BOONTON
Practice Address - State:NJ
Practice Address - Zip Code:07005-1627
Practice Address - Country:US
Practice Address - Phone:201-248-5552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-13
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty