Provider Demographics
NPI:1841054608
Name:SNELL, STEPHANIE BROWN (PHD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:BROWN
Last Name:SNELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DANVILLE PUBLIC SCHOOLS
Mailing Address - Street 2:341 MAIN STREET, 2ND FLOOR
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541
Mailing Address - Country:US
Mailing Address - Phone:402-619-0016
Mailing Address - Fax:
Practice Address - Street 1:DANVILLE PUBLIC SCHOOLS
Practice Address - Street 2:341 MAIN STREET, 2ND FLOOR
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541
Practice Address - Country:US
Practice Address - Phone:402-619-0016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAPPS-0608074103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool