Provider Demographics
NPI:1023114949
Name:SNYDER, SHERRI ELLEN (MA)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:ELLEN
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:
Other - Last Name:BURKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31 HASTINGS ST
Mailing Address - Street 2:
Mailing Address - City:MENDON
Mailing Address - State:MA
Mailing Address - Zip Code:01756
Mailing Address - Country:US
Mailing Address - Phone:508-473-1200
Mailing Address - Fax:508-473-1226
Practice Address - Street 1:31 HASTINGS ST
Practice Address - Street 2:
Practice Address - City:MENDON
Practice Address - State:MA
Practice Address - Zip Code:01756
Practice Address - Country:US
Practice Address - Phone:508-473-1200
Practice Address - Fax:508-473-1226
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1795LMHC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health