Healthcare Provider Details

I. General information

NPI: 1013562909
Provider Name (Legal Business Name): MORGAN SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2019
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 W RIO SALADO PKWY UNIT 206
TEMPE AZ
85281-3137
US

IV. Provider business mailing address

435 W RIO SALADO PKWY UNIT 206
TEMPE AZ
85281-3137
US

V. Phone/Fax

Practice location:
  • Phone: 937-925-5665
  • Fax:
Mailing address:
  • Phone: 623-688-2019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW-22437
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: