MEDICARE: MS. KATHERINE AMY SNYDER LMFT, LPC

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	101YM0800X	Mental Health Counselor	PRC13918	DC
2	106H00000X	Marriage & Family Therapist	LCM202	MD
3	106H00000X	Marriage & Family Therapist	LMFT000016	DC

General Provider Information

NPI Number	:	1538326350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHERINE AMY SNYDER LMFT, LPC

Provider Business Mailing Address
First Line	:	8484 16TH ST APT 903
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-2974
Country	:	US
Telephone Number	:	301-587-0049
Fax Number	:

Provider Business Practice Location Address
First Line	:	8484 16TH ST APT 903
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-2974
Country	:	US
Telephone Number	:	301-587-0049
Fax Number	:

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

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	05/20/2008

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