Provider Demographics
NPI:1336453869
Name:SNYDER, MATTHEW THOMAS (MA, LPCS, PSYD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:THOMAS
Last Name:SNYDER
Suffix:
Gender:M
Credentials:MA, LPCS, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-2948
Mailing Address - Country:US
Mailing Address - Phone:828-222-0401
Mailing Address - Fax:888-595-9450
Practice Address - Street 1:1915 GEORGE ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-2948
Practice Address - Country:US
Practice Address - Phone:828-222-0401
Practice Address - Fax:888-595-9450
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7725101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional