Provider Demographics
NPI:1700163904
Name:SNAPPER, MICHELE VOGEL (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:VOGEL
Last Name:SNAPPER
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 SAXONWOOD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-2319
Mailing Address - Country:US
Mailing Address - Phone:203-521-1581
Mailing Address - Fax:
Practice Address - Street 1:57 SAXONWOOD RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-2319
Practice Address - Country:US
Practice Address - Phone:203-521-1581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA002785235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist