Provider Demographics
NPI:1801888243
Name:SNYDER, MARGARET TUNNICLIFFE (PSYD, HSPP)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:TUNNICLIFFE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PSYD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16882 EDINBURG LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46635-1422
Mailing Address - Country:US
Mailing Address - Phone:574-298-7895
Mailing Address - Fax:574-966-5060
Practice Address - Street 1:505 COLONIAL CT
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:IN
Practice Address - Zip Code:46563-1860
Practice Address - Country:US
Practice Address - Phone:574-298-7895
Practice Address - Fax:574-966-5060
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20041330A103TC0700X
IN340027391041C0700X
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200232730AMedicaid
000000199899OtherBCBS