MEDICARE: MR. MARK SNITZER M.S. N.C.C. L.P.C

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	101YP2500X	Professional Counselor	PC006337	PA

General Provider Information

NPI Number	:	1306231196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK SNITZER M.S. N.C.C. L.P.C

Provider Business Mailing Address
First Line	:	324 BRIAR RIDGE CIR
Second Line	:
City	:	ENOLA
State	:	PA
Zip	:	17025-2554
Country	:	US
Telephone Number	:	570-430-5329
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 WINDING CREEK BLVD
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17050-1883
Country	:	US
Telephone Number	:	717-590-7283
Fax Number	:

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

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	03/30/2015

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