Healthcare Provider Details

I. General information

NPI: 1831487651
Provider Name (Legal Business Name): DAVID ATKINSON SNYDER LPCC-S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2011
Last Update Date: 07/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 W COLLEGE ST
OBERLIN OH
44074-1531
US

IV. Provider business mailing address

181 W COLLEGE ST
OBERLIN OH
44074-1531
US

V. Phone/Fax

Practice location:
  • Phone: 440-774-3060
  • Fax:
Mailing address:
  • Phone: 440-774-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.0602186
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: