Provider Demographics
NPI:1831990589
Name:SNYDER, ISABELLA
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:
Last Name:SNYDER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 AHONEN RD
Mailing Address - Street 2:
Mailing Address - City:OTISFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04270-6802
Mailing Address - Country:US
Mailing Address - Phone:603-793-8754
Mailing Address - Fax:
Practice Address - Street 1:151 N TEMPLE ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-3350
Practice Address - Country:US
Practice Address - Phone:207-795-4140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESAS42502355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant