Healthcare Provider Details

I. General information

NPI: 1144474800
Provider Name (Legal Business Name): CARLI SNYDER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2008
Last Update Date: 11/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7455 W WASHINGTON AVE STE 160 LONGFORD MEDICAL CENTER
LAS VEGAS NV
89128-4337
US

IV. Provider business mailing address

7455 W WASHINGTON AVE STE 160 LONGFORD MEDICAL CENTER
LAS VEGAS NV
89128-4337
US

V. Phone/Fax

Practice location:
  • Phone: 702-252-8255
  • Fax: 702-380-8255
Mailing address:
  • Phone: 702-252-8255
  • Fax: 702-380-8255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY0490
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: