MEDICARE: DR. JOEL JAMES SNIDER PSY.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PY12221	FL

General Provider Information

NPI Number	:	1154663920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL JAMES SNIDER PSY.D

Provider Business Mailing Address
First Line	:	2030 CHILD ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-5012
Country	:	US
Telephone Number	:	904-546-6351
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 CHILD ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-5012
Country	:	US
Telephone Number	:	904-546-6351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2013
Last Update Date	:	02/26/2025

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