Provider Demographics
NPI:1922472943
Name:SNABLY, KATHERINE (PSYD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:SNABLY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4320 PRINCE WILLIAM PKWY
Mailing Address - Street 2:SUITE 109
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-8100
Mailing Address - Country:US
Mailing Address - Phone:703-969-3275
Mailing Address - Fax:
Practice Address - Street 1:4320 PRINCE WILLIAM PKWY
Practice Address - Street 2:SUITE 109
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-8100
Practice Address - Country:US
Practice Address - Phone:703-969-3275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004952103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical