Provider Demographics
NPI:1023276219
Name:SNIDER, LYNDA (LCSW)
Entity type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:
Last Name:SNIDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2931 W VASSAR AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-4139
Mailing Address - Country:US
Mailing Address - Phone:559-733-5754
Mailing Address - Fax:559-733-5754
Practice Address - Street 1:2931 W VASSAR AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-4139
Practice Address - Country:US
Practice Address - Phone:559-733-5754
Practice Address - Fax:559-733-5754
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-25
Last Update Date:2008-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9167101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health