Provider Demographics
NPI:1750620183
Name:SNYDER, JOAN S (MA,CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:S
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3477 HILLMOOR DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-3108
Mailing Address - Country:US
Mailing Address - Phone:727-786-0773
Mailing Address - Fax:
Practice Address - Street 1:3477 HILLMOOR DR
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-3108
Practice Address - Country:US
Practice Address - Phone:727-786-0773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA3250235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist