Provider Demographics
NPI:1932215746
Name:SNYDER, SHEILA BAKER (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:BAKER
Last Name:SNYDER
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 1:4440 DUCKHORN DR
Mailing Address - Street 2:SUITE 400C
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2594
Mailing Address - Country:US
Mailing Address - Phone:916-928-8008
Mailing Address - Fax:916-760-8338
Practice Address - Street 1:4440 DUCKHORN DR
Practice Address - Street 2:SUITE 400C
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2594
Practice Address - Country:US
Practice Address - Phone:916-928-8008
Practice Address - Fax:916-760-8338
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9931103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00PL99310Medicare ID - Type Unspecified