Provider Demographics
NPI:1780969352
Name:SNYDER, KAREN S (PSYD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:S
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S MISSION DR
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1164
Mailing Address - Country:US
Mailing Address - Phone:626-282-5155
Mailing Address - Fax:626-289-8570
Practice Address - Street 1:201 S MISSION DR
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1164
Practice Address - Country:US
Practice Address - Phone:626-282-5155
Practice Address - Fax:626-289-8570
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18376103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical