Healthcare Provider Details

I. General information

NPI: 1932446168
Provider Name (Legal Business Name): DANIEL SNYDER PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2013
Last Update Date: 01/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865B BLUE RIDGE RD
BLACK MOUNTAIN NC
28711-9773
US

IV. Provider business mailing address

305 MONTREAT RD
BLACK MOUNTAIN NC
28711-3119
US

V. Phone/Fax

Practice location:
  • Phone: 828-669-9798
  • Fax:
Mailing address:
  • Phone: 828-776-0015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number0047
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: