Provider Demographics
NPI:1982367546
Name:SNYDER, DEVIN VALLEY (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:DEVIN
Middle Name:VALLEY
Last Name:SNYDER
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 BEACH BLUFF TER
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-2102
Mailing Address - Country:US
Mailing Address - Phone:631-291-5080
Mailing Address - Fax:
Practice Address - Street 1:9 HEALTHCARE DR STE 204
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9450
Practice Address - Country:US
Practice Address - Phone:207-284-2630
Practice Address - Fax:207-602-8468
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDI1633133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered