Provider Demographics
NPI:1457405284
Name:SNYDER, CATHERINE C (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:C
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 PINE AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:PA
Mailing Address - Zip Code:15342-1624
Mailing Address - Country:US
Mailing Address - Phone:724-873-7558
Mailing Address - Fax:724-229-8757
Practice Address - Street 1:30 E BEAU STREET
Practice Address - Street 2:WASHINGTON TRUST BLDG STE 616
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4713
Practice Address - Country:US
Practice Address - Phone:724-225-6760
Practice Address - Fax:724-229-8757
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0133981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA201503OtherUPMC
PA629620OtherHIGHMARK BCBS
0007342281OtherAETNA
11575987OtherCAQH
PA475228Medicaid
043430Medicare ID - Type Unspecified