Provider Demographics
NPI:1952856320
Name:SNYDER, EMOGENE RENEA (MS)
Entity Type:Individual
Prefix:
First Name:EMOGENE
Middle Name:RENEA
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 1:305 BRIAR RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-2548
Mailing Address - Country:US
Mailing Address - Phone:717-343-2294
Mailing Address - Fax:
Practice Address - Street 1:305 BRIAR RIDGE CIR
Practice Address - Street 2:
Practice Address - City:ENOLA
Practice Address - State:PA
Practice Address - Zip Code:17025-2548
Practice Address - Country:US
Practice Address - Phone:717-343-2294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-16
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
PA10492101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)