Provider Demographics
NPI:1881311041
Name:SNEDDON, SHANE NICHOLAS
Entity type:Individual
Prefix:
First Name:SHANE
Middle Name:NICHOLAS
Last Name:SNEDDON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1048
Mailing Address - Country:US
Mailing Address - Phone:740-238-3445
Mailing Address - Fax:
Practice Address - Street 1:220 MURDOCK ST
Practice Address - Street 2:
Practice Address - City:MINGO JUNCTION
Practice Address - State:OH
Practice Address - Zip Code:43938-1062
Practice Address - Country:US
Practice Address - Phone:740-238-3445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-27
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)