Healthcare Provider Details

I. General information

NPI: 1740750132
Provider Name (Legal Business Name): AMY NOELLE SNYDER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W FRANKLIN ST STE 202
MONTEREY CA
93940-2725
US

IV. Provider business mailing address

140 W FRANKLIN ST STE 202
MONTEREY CA
93940-2725
US

V. Phone/Fax

Practice location:
  • Phone: 831-200-3227
  • Fax:
Mailing address:
  • Phone: 831-200-3227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number124046
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number124046
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: