Provider Demographics
NPI:1134238280
Name:ZYNDA-SNYDER, DOROTHY (LMSW)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:
Last Name:ZYNDA-SNYDER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20793 FARMINGTON RD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-5182
Mailing Address - Country:US
Mailing Address - Phone:248-426-0079
Mailing Address - Fax:248-426-0823
Practice Address - Street 1:20793 FARMINGTON RD
Practice Address - Street 2:SUITE 21
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-5182
Practice Address - Country:US
Practice Address - Phone:248-426-0079
Practice Address - Fax:248-426-0823
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010109011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical