Healthcare Provider Details

I. General information

NPI: 1083263610
Provider Name (Legal Business Name): HANNAH SNYDER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2019
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 NW 12TH AVE STE 2047
MIAMI FL
33136-1005
US

IV. Provider business mailing address

1601 NW 12TH AVE STE 2047
MIAMI FL
33136-1005
US

V. Phone/Fax

Practice location:
  • Phone: 301-807-1669
  • Fax:
Mailing address:
  • Phone: 305-243-6857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY06261
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810006420
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY1001550
License Number StateDC
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY12735
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: