Provider Demographics
NPI:1356127831
Name:SNYDER, AMBER E
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:E
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 1:2220 HIDDEN VALLEY RD APT 2
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-3121
Mailing Address - Country:US
Mailing Address - Phone:952-492-9015
Mailing Address - Fax:
Practice Address - Street 1:2220 HIDDEN VALLEY RD APT 2
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-3121
Practice Address - Country:US
Practice Address - Phone:952-492-9015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst