Provider Demographics
NPI:1265151963
Name:RHOADS-SNYDER, MARIE LOUISE (PSYD)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:LOUISE
Last Name:RHOADS-SNYDER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4745 OGLETOWN STANTON RD STE 116
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2070
Mailing Address - Country:US
Mailing Address - Phone:302-623-6771
Mailing Address - Fax:302-623-7942
Practice Address - Street 1:4745 OGLETOWN STANTON RD STE 116
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2070
Practice Address - Country:US
Practice Address - Phone:302-623-6771
Practice Address - Fax:302-623-7942
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0011352103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical