Healthcare Provider Details

I. General information

NPI: 1013349810
Provider Name (Legal Business Name): CYNTHIA SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 08/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 N 7TH ST
DAVID CITY NE
68632-1313
US

IV. Provider business mailing address

443 STAR ST
SEWARD NE
68434-3012
US

V. Phone/Fax

Practice location:
  • Phone: 402-367-3045
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number937
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: