Healthcare Provider Details

I. General information

NPI: 1215374111
Provider Name (Legal Business Name): KRISTIN LEIGH SNYDER M.S.W. AND L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTIN LEIGH BORYS (NOTE- MAIDEN NAME)

II. Dates (important events)

Enumeration Date: 05/31/2013
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 NORTON RD
EAST BRUNSWICK NJ
08816-1704
US

IV. Provider business mailing address

77 FRENCH ST
SOMERSET NJ
08873-2714
US

V. Phone/Fax

Practice location:
  • Phone: 732-613-6800
  • Fax:
Mailing address:
  • Phone: 908-307-0697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SCO5497400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: