Healthcare Provider Details

I. General information

NPI: 1447095377
Provider Name (Legal Business Name): EMMI MAE SNYDER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1570 FISHINGER RD STE E
COLUMBUS OH
43221-2114
US

IV. Provider business mailing address

3837 ATTUCKS DR
POWELL OH
43065-6082
US

V. Phone/Fax

Practice location:
  • Phone: 614-457-5848
  • Fax:
Mailing address:
  • Phone: 614-812-7886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA.02545
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: