Provider Demographics
NPI:1972752715
Name:SNYDER, HOPE L (HIS)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:L
Last Name:SNYDER
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 APPLE GLEN BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-1792
Mailing Address - Country:US
Mailing Address - Phone:260-469-6919
Mailing Address - Fax:260-469-6922
Practice Address - Street 1:1306 APPLE GLEN BLVD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-1792
Practice Address - Country:US
Practice Address - Phone:260-469-6919
Practice Address - Fax:260-469-6922
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001278A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist