Provider Demographics
NPI:1255163606
Name:SNYDER, ABBIGAIL MARCELLA
Entity type:Individual
Prefix:
First Name:ABBIGAIL
Middle Name:MARCELLA
Last Name:SNYDER
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 1:13715 MARIAH DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-2265
Mailing Address - Country:US
Mailing Address - Phone:254-315-1344
Mailing Address - Fax:
Practice Address - Street 1:10261 HARPERS SCHOOL RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77385-2231
Practice Address - Country:US
Practice Address - Phone:936-709-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14501968235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist