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NPI Code Detail

MEDICARE: ANNA MARTINEZ-SNYDER PHD

MEDICARE: ANNA MARTINEZ-SNYDER PHD
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
1103TC2200XClinical Child & Adolescent Psychologist071.011095IL

General Provider Information

NPI Number : 1558913160
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MARTINEZ-SNYDER PHD
Provider Business Mailing Address
First Line : 1438 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-2150
Country : US
Telephone Number : 312-508-3645
Fax Number :
Provider Business Practice Location Address
First Line : 1438 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-2150
Country : US
Telephone Number : 312-508-3645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2019
Last Update Date : 03/26/2024

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Directions to “ ANNA MARTINEZ-SNYDER PHD” Practice Location

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