Healthcare Provider Details

I. General information

NPI: 1821381146
Provider Name (Legal Business Name): CHERYL SNYDER L.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2011
Last Update Date: 04/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 AKRON RD
WOOSTER OH
44691-7904
US

IV. Provider business mailing address

PO BOX 518
SMITHVILLE OH
44677-0518
US

V. Phone/Fax

Practice location:
  • Phone: 614-751-9068
  • Fax: 614-751-9130
Mailing address:
  • Phone: 330-264-3232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.0028144
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: