Healthcare Provider Details

I. General information

NPI: 1457361420
Provider Name (Legal Business Name): GAIL LOU SNYDER M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 11/23/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 MERCY DR NW SUITE 420
CANTON OH
44708-2626
US

IV. Provider business mailing address

1330 MERCY DR NW SUITE 420
CANTON OH
44708-2626
US

V. Phone/Fax

Practice location:
  • Phone: 330-489-1415
  • Fax: 330-430-6964
Mailing address:
  • Phone: 330-489-1415
  • Fax: 330-430-6964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE-2263
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: