Provider Demographics
NPI:1942463807
Name:SNYDER, CYNTHIA WELKE (MPH RD CD)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:WELKE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MPH RD CD
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:GAIL
Other - Last Name:WELKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPH RD CD
Mailing Address - Street 1:317 NW 193RD ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-3060
Mailing Address - Country:US
Mailing Address - Phone:206-542-7824
Mailing Address - Fax:
Practice Address - Street 1:1201 TERRY AVE
Practice Address - Street 2:MAIL STOP: X1- DTC
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2735
Practice Address - Country:US
Practice Address - Phone:206-223-6729
Practice Address - Fax:206-583-6417
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00000662133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WADI00000662OtherWA STATE DEPARTMENT OF HEALTH - CERTIFIED DIETITIAN
613152OtherAMERICAN DIETETIC ASSOCIATION