Provider Demographics
NPI:1013050988
Name:SNYDER, HOLLY LYNN (GENETIC COUNSELOR)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:LYNN
Last Name:SNYDER
Suffix:
Gender:F
Credentials:GENETIC COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 J. CLYDE MORRIS BOULEVARD
Mailing Address - Street 2:BUILDING G, SUITE 200
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601
Mailing Address - Country:US
Mailing Address - Phone:757-534-5791
Mailing Address - Fax:757-594-4310
Practice Address - Street 1:500 J CLYDE MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1929
Practice Address - Country:US
Practice Address - Phone:757-494-3636
Practice Address - Fax:757-624-2272
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2005129170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS