Healthcare Provider Details

I. General information

NPI: 1548371461
Provider Name (Legal Business Name): S. FAYE SNYDER PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15650 DEVONSHIRE ST SUITE 212
GRANADA HILLS CA
91344-7241
US

IV. Provider business mailing address

15650 DEVONSHIRE ST SUITE 212
GRANADA HILLS CA
91344-7241
US

V. Phone/Fax

Practice location:
  • Phone: 661-257-1020
  • Fax:
Mailing address:
  • Phone: 661-257-1020
  • Fax: 661-257-1188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY 24806
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number29816
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: