Healthcare Provider Details

I. General information

NPI: 1407627680
Provider Name (Legal Business Name): DELAYNI SNYDER MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DELAYNI JOHNSON

II. Dates (important events)

Enumeration Date: 01/16/2024
Last Update Date: 01/16/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5651 PALMER WAY STE D
CARLSBAD CA
92010-7244
US

IV. Provider business mailing address

5651 PALMER WAY STE D
CARLSBAD CA
92010-7244
US

V. Phone/Fax

Practice location:
  • Phone: 760-918-9500
  • Fax:
Mailing address:
  • Phone: 951-852-7839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number36222
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: