Provider Demographics
NPI:1720510969
Name:SNYDER, LIDIA J (LMSW, RYT, TCTSY-F)
Entity Type:Individual
Prefix:
First Name:LIDIA
Middle Name:J
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LMSW, RYT, TCTSY-F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-1403
Mailing Address - Country:US
Mailing Address - Phone:716-316-2945
Mailing Address - Fax:
Practice Address - Street 1:99 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-1403
Practice Address - Country:US
Practice Address - Phone:716-316-2945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist