Provider Demographics
NPI:1134616188
Name:SNIDER, MICHELE RENEE
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:RENEE
Last Name:SNIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7651 CAMP GROVE RD SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON COURT HOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43160-9058
Mailing Address - Country:US
Mailing Address - Phone:740-463-9343
Mailing Address - Fax:
Practice Address - Street 1:7651 CAMP GROVE RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON COURT HOUSE
Practice Address - State:OH
Practice Address - Zip Code:43160-9058
Practice Address - Country:US
Practice Address - Phone:740-463-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator