Provider Demographics
NPI:1184742769
Name:SNYDER, CAROLYN MEYERS (MS CCC SLP)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:MEYERS
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:MS
Other - First Name:CAROLYN
Other - Middle Name:ANN
Other - Last Name:MEYERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:601 STADIUM MALL DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47907-2052
Mailing Address - Country:US
Mailing Address - Phone:765-496-1927
Mailing Address - Fax:765-496-1227
Practice Address - Street 1:3302 W 116TH ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032
Practice Address - Country:US
Practice Address - Phone:317-698-9089
Practice Address - Fax:317-733-8157
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22001776A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist