Provider Demographics
NPI:1457744773
Name:SNYDER, KRISTINA (RD, LDN)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7737 HASBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-2407
Mailing Address - Country:US
Mailing Address - Phone:215-687-0991
Mailing Address - Fax:
Practice Address - Street 1:1040 MILLCREEK DR
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-7321
Practice Address - Country:US
Practice Address - Phone:215-355-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005611133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered